Individual
BETH WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 POMPERAUG RD, WOODBURY, CT 06798-3713
(203) 510-5855
Mailing address
72 POMPERAUG RD, WOODBURY, CT 06798-3713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3609115018
CT
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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