Individual
MRS. SUSAN SUTTON WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
515 SHACKAMAXON DR, WESTFIELD, NJ 07090-3303
(908) 789-7427
Mailing address
515 SHACKAMAXON DR, WESTFIELD, NJ 07090-3303
(973) 452-2397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00716700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37AC00366300
NJ LAC LICENSE
NJ
Enumeration date
04/30/2019
Last updated
11/23/2020
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