Organization
CONNY WULFF, MSW, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE WULFF LCSW (OWNER/THERAPIST)
(336) 485-8215
Entity
Organization
Contact information
Practice address
105 E CENTER ST, STE B-11, MEBANE, NC 27302-2420
(336) 485-8215
(336) 346-2975
Mailing address
105 E CENTER ST, STE B-11, MEBANE, NC 27302-2420
(336) 485-8215
(336) 346-2975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C008462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114261922
—
NC
Enumeration date
03/28/2017
Last updated
03/28/2017
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