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Individual

DR. MICHAEL W WOLFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1100 E MAIN ST, SUITE 320, WEATHERFORD, OK 73096-5758
(580) 774-1812
Mailing address
1100 E MAIN ST, SUITE 320, WEATHERFORD, OK 73096-5758
(580) 774-1812

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
651
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100838400A
OK
Enumeration date
06/21/2006
Last updated
12/29/2010
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