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Individual

MS. LAURA WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CDN, CDE

Contact information

Practice address
3 CORNWALL CT, KATONAH, NY 10536-2501
(518) 336-5937
Mailing address
3 CORNWALL CT, KATONAH, NY 10536-2501
(914) 220-2152

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1000647
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000647
COMMISSION ONDIETETIC REGISTRATION
NY
Enumeration date
05/13/2014
Last updated
11/17/2014
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