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Individual

MS. VIRGINIA WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LP

Contact information

Practice address
400 SIBLEY ST, SUITE 500, SAINT PAUL, MN 55101-1941
(651) 256-1242
(651) 291-7378
Mailing address
400 SIBLEY ST, SUITE 500, SAINT PAUL, MN 55101-1941
(651) 256-1242
(651) 291-7378

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3030
MN
103TC1900X
Counseling Psychologist
LP3030
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
666822400
MN
Enumeration date
10/06/2006
Last updated
09/09/2011
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