Individual
CHENELL WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG60903555
Contact information
Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG60903555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60903555
—
WA
Enumeration date
10/08/2018
Last updated
10/08/2018
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