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NPI Code Detail

MEDICARE: MRS. LINDA MARIE WOLF LCSW

MEDICARE: MRS. LINDA MARIE WOLF 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
11041S0200XSchool Social WorkerR049671-1NY

General Provider Information

NPI Number : 1770892796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA MARIE WOLF LCSW
Provider Business Mailing Address
First Line : 225 WEST AVE
Second Line :
City : HILTON
State : NY
Zip : 14468-1253
Country : US
Telephone Number : 585-392-1000
Fax Number : 585-392-1075
Provider Business Practice Location Address
First Line : 225 WEST AVE
Second Line :
City : HILTON
State : NY
Zip : 14468-1253
Country : US
Telephone Number : 585-392-1000
Fax Number : 585-392-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 09/27/2010

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