Individual
TEALIA LYNN WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3012 NORTHPOINTE PLZ, MORGANTOWN, WV 26505-3277
(304) 292-2259
Mailing address
14 E WILFORD ST, APT 3, GRAFTON, WV 26354-1333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2003-1281
WV
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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