Individual
MICHELLE KAY WOLFGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5040 E SHEA BLVD, SUITE 268, SCOTTSDALE, AZ 85254-4600
(602) 769-1170
(480) 607-5074
Mailing address
5040 E SHEA BLVD, SUITE 268, SCOTTSDALE, AZ 85254-4600
(602) 769-1170
(480) 607-5074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11972
AZ
Other
Enumeration date
06/05/2008
Last updated
06/25/2009
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