Individual
DANIEL WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
3375 EVANS AVENUE, FORT MYERS, FL 33901
(239) 277-3977
Mailing address
4150 REGATA WAY APT 103, FORT MYERS, FL 33916-8156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17082
FL
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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