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Individual

JENINE TULLEDGE-WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
231 FARMINGTON AVE, FARMINGTON, CT 06032-1940
(716) 474-3703
Mailing address
231 FARMINGTON AVE, FARMINGTON, CT 06032-1940

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4799
CT

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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