Individual
SUSAN MARIE WOLFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12132 SE FOSTER PL, PORTLAND, OR 97266-4983
(503) 762-7612
(775) 628-9196
Mailing address
12132 SE FOSTER PL, PORTLAND, OR 97266-4983
(503) 762-7612
(775) 628-9196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3583
OR
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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