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NPI Code Detail

MEDICARE: MS. ANNIE E WOLFF LCSW

MEDICARE: MS. ANNIE E WOLFF LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker8192-CNV

General Provider Information

NPI Number : 1093050866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNIE E WOLFF LCSW
Provider Business Mailing Address
First Line : 9488 W FLAMINGO RD STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5717
Country : US
Telephone Number : 702-239-8245
Fax Number :
Provider Business Practice Location Address
First Line : 6730 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5396
Country : US
Telephone Number : 702-665-5593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 05/17/2022

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