Individual
VICKY WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
203 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548-5775
(850) 226-7666
Mailing address
3 VINE AVE NE, FORT WALTON BEACH, FL 32548-5069
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY10802
FL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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