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Individual

MARCIE THERESA WOLTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(920) 988-2236
Mailing address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(920) 988-2236

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/17/2020
Last updated
02/17/2020
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