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1295366169
KELLY R WOLFE
WOODSTOCK, GA
NPI
1295366169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC006542)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
KELLY R WOLFE
4595 TOWNE LAKE PKWY STE 250
WOODSTOCK, GA 30189-5514
Phone number: 717-478-8486
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Mailing Address
KELLY R WOLFE
104 OLDE HERITAGE WAY
WOODSTOCK, GA 30188-6121
Phone number: 717-669-0484
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