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Individual

MAKENZIE R WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4294
(417) 761-5000
(417) 761-5100
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4294
(417) 761-5000
(417) 761-5100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2022031695
MO
1041C0700X
Clinical Social Worker
Primary
8900-C
AR

Other

Enumeration date
07/26/2018
Last updated
04/10/2025
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