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Individual

MORGANNA WYNTER WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSWA, CADCI

Contact information

Practice address
17175 SW TV HWY, SUITE B2, ALOHA, OR 97006-4584
(503) 941-3063
(503) 941-3099
Mailing address
3720 SW 141ST AVE, SUITE 100, BEAVERTON, OR 97005-2382
(503) 941-3033
(503) 941-3034

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04-11-71U3
OR
1041C0700X
Clinical Social Worker
Primary
L5856
OR

Other

Enumeration date
11/08/2012
Last updated
07/12/2013
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