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Individual

SUSAN GAIL WOLFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMH-NP

Contact information

Practice address
745 BUENA VISTA DR, LANDER, WY 82520-3431
(307) 332-2941
Mailing address
4150 GLORY VISTA TER, JACKSON, WY 83001-8997
(307) 690-4368

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
44657
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
67729
ID

Other

Enumeration date
09/23/2019
Last updated
06/29/2023
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