Individual
MICHELLE ANTONINA DEWOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3961 HOLIDAY DR, COLLEYVILLE, TX 76034-4693
(817) 881-3884
Mailing address
271 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7049
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110683
TX
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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