Individual
TODD DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 CHURCH ST STE 105, WALLINGFORD, CT 06492-2253
(203) 679-0849
Mailing address
300 CHURCH ST STE 105, WALLINGFORD, CT 06492-2253
(203) 679-0849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001346
CT
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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