Individual
MRS. SAMANTHA WOULFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
707 SCHOONER LN, ELK GROVE VILLAGE, IL 60007-6910
(847) 224-7345
Mailing address
707 SCHOONER LN, ELK GROVE VILLAGE, IL 60007-6910
(847) 224-7345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005460
IL
Other
Enumeration date
10/24/2013
Last updated
03/24/2015
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