Individual
MARISSA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1635 E DELAVAN AVE, CHEEKTOWAGA, NY 14215-3627
(716) 961-4057
Mailing address
183 TREADWELL RD, TONAWANDA, NY 14150-8821
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
100818
NY
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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