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Individual

JENNIFER CHRISTINE WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
593 EDDY ST, POB 122, PROVIDENCE, RI 02903-4923
(401) 444-4515
(401) 444-7865
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
PS01126
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS01126
RHODE ISLAND PROFESSIONAL LICENSE
RI
Enumeration date
03/06/2009
Last updated
01/20/2012
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