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Individual

CARRIE BETH WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
5520 PARK AVE STE WP2-700, TRUMBULL, CT 06611-3463
(203) 374-1018
(203) 396-0699
Mailing address
5520 PARK AVE, SUITE 302, TRUMBULL, CT 06611
(203) 374-1018
(203) 396-0699

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000197
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004208444
CT
Enumeration date
08/23/2006
Last updated
11/06/2018
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