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1962024067
BARRY WOLF
BOCA RATON, FL
NPI
1962024067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
BARRY WOLF MD
JACKWOLF LLC 247 S. OCEAN BLVD
BOCA RATON, FL 33432
Phone number: 561-961-9225
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Mailing Address
BARRY WOLF MD
247 S OCEAN BLVD UNIT B
BOCA RATON, FL 33432-6439
Phone number: 561-951-9225
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