Individual
LISA E WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HWY 20, CHILDRENS FARM HOME, CORVALLIS, OR 97330-1826
(541) 758-5979
Mailing address
4455 NE HWY 20, CHILDRENS FARM HOME, CORVALLIS, OR 97330-1826
(541) 758-5979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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