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Individual

ANA MAYA WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
333 EAST ST, BRIEN CENTER, PITTSFIELD, MA 01201-5312
(413) 499-0412
(413) 499-0979
Mailing address
PO BOX 523, STEPHENTOWN, NY 12168-0523
(518) 488-9755

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113354
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37237
HEALTH NEW ENGLAND
MA
Enumeration date
11/29/2006
Last updated
07/08/2007
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