MICAH SW WOLF

DANIELSON, CT
NPI1295450070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
MICAH SW WOLF
71 WESTCOTT RD
DANIELSON, CT 06239-2929
Phone number: 860-774-7179
Mailing Address
MICAH SW WOLF
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351