Individual
MS. PATRICIA JOANN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1111 MILLEDGEVILLE HWY, MILLEDGEVILLE, GA 31061-8807
(706) 816-7865
(478) 200-5165
Mailing address
107 FALCON WAY SE, MILLEDGEVILLE, GA 31061-8871
(706) 816-7865
(478) 200-5165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW002198
GA
1041C0700X
Clinical Social Worker
002198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002198
LCSW
GA
Enumeration date
07/23/2009
Last updated
04/03/2024
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