Individual
LAUREN WOLFARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 WEST, SUMMIT, MS 39666
(601) 276-3900
Mailing address
4109 HIGHWAY 98 WEST, SUMMIT, MS 39666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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