Organization
MARLENE M WOLF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE M WOLF (OWNER/CLINICIAN)
(203) 856-9852
Entity
Organization
Contact information
Practice address
1200 HIGH RIDGE RD, STAMFORD, CT 06905-1223
(203) 856-9852
Mailing address
22 TRYON AVE, RUMFORD, RI 02916-1834
(203) 856-9852
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
10/02/2018
Last updated
07/31/2024
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