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Individual

AUSTIN WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-1804
Mailing address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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