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Individual

PETER WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
835 E CLARKSTON RD, LAKE ORION, MI 48362-3816
(248) 495-5624
Mailing address
835 E CLARKSTON RD, LAKE ORION, MI 48362-3816
(248) 628-1289

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64010000080
MI
101YP2500X
Professional Counselor
Primary
6401000080

Other

Enumeration date
12/27/2021
Last updated
12/27/2021
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