Individual
DR. ANDREA WOLFE-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
DFAS JFLL IN, 8899 EAST 56TH STREET, INDIANAPOLIS, IN 46249-1200
(210) 292-5972
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(210) 292-5972
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006382
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/01/2017
Last updated
09/22/2023
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