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NPI 1811409931

NPI 1811409931 : CHRISTINA CAROL WOLFE LICSW : CULLMAN, AL

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General NPI Number Information
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    NPI Number           |    1811409931
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA CAROL WOLFE LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2017
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    1965 AL HIGHWAY 157 STE B 
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    City                 |    CULLMAN
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    State                |    AL
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    Zip                  |    35058-0672
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    Country              |    US
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    Telephone            |    256-701-5651
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    Fax                  |    256-430-8400
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Provider Business Mailing Address
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    Address Line         |    600 SUN TEMPLE DR 
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    City                 |    MADISON
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    State                |    AL
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    Zip                  |    35758-8643
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    Country              |    US
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    Telephone            |    256-975-4291
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    Fax                  |    256-325-1890
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    BP00944376
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    4521C
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    License Number State |    AL
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