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Individual

STEPHANIE JO WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 LAKEMONT PARK BLVD, LOWER LEVEL, ALTOONA, PA 16602-5947
(814) 946-0261
(814) 569-1189
Mailing address
RR 2 BOX 534A, TYRONE, PA 16686-9726

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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