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Individual

MONICA ELIZABETH WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, LPC

Contact information

Practice address
204 METRO DR STE B, SUITE B, JEFFERSON CITY, MO 65109-4408
(573) 634-4591
(573) 634-4592
Mailing address
261 HIGHWAY 87, ELDON, MO 65026-4111
(573) 517-1690

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2010033057
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02031983
DATE OF BIRTH
MO
Enumeration date
10/19/2010
Last updated
10/19/2010
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