Individual
MRS. BETH A WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
3532 19TH ST S, FARGO, ND 58104-6552
(701) 293-3345
Mailing address
3532 19TH ST S, FARGO, ND 58104-6552
(701) 293-3345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
514
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051424
—
ND
01
—
23560
BLUE CROSS BLUE SHIELD ND
ND
Enumeration date
10/12/2006
Last updated
07/09/2007
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