Individual
AMY D. WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, PROVINCETOWN, MA 02657
(508) 487-9395
(508) 487-3285
Mailing address
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, PROVINCETOWN, MA 02657
(508) 487-9395
(508) 487-3285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110885
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1895770
—
MA
Enumeration date
03/19/2007
Last updated
07/09/2007
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