Individual
JESSICA R WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3554 TEAYS VALLEY RD, SUITE 102, HURRICANE, WV 25526-9169
(304) 397-6909
(866) 332-2962
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 397-6909
(866) 332-2962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23611
WV
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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