Individual
MRS. MELANIE DEBORAH WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., BCBA
Contact information
Practice address
1501 FONTANA DR, SAINT LOUIS, MO 63146-3830
(314) 961-8983
(314) 961-8983
Mailing address
20 LADEL CT, SAINT LOUIS, MO 63132-4321
(314) 961-8983
(314) 961-8983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1597
MO
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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