Individual
DR. NICOLE J WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP5468
LICENSE
MN
Enumeration date
01/23/2012
Last updated
02/21/2024
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