Individual
KELLY R WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4595 TOWNE LAKE PKWY STE 250, WOODSTOCK, GA 30189-5514
(717) 478-8486
Mailing address
104 OLDE HERITAGE WAY, WOODSTOCK, GA 30188-6121
(717) 669-0484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006542
GA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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