| Conny Wulff, Msw, Lcsw, Pllc | |
|
105 E Center St Ste B-11 Mebane NC 27302-2420 | |
| (336) 485-8215 | |
| (336) 346-2975 |
| Full Name | Conny Wulff, Msw, Lcsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 E Center St, Mebane, North Carolina |
| Authorized Official Name and Position | Constance Wulff (OWNER/THERAPIST) |
| Authorized Official Contact | 3364858215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conny Wulff, Msw, Lcsw, Pllc 105 E Center St Ste B-11 Mebane NC 27302-2420 Ph: (336) 485-8215 | Conny Wulff, Msw, Lcsw, Pllc 105 E Center St Ste B-11 Mebane NC 27302-2420 Ph: (336) 485-8215 |
| NPI Number | 1346772571 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346772571 | NPI | - | NPPES |
| 1114261922 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008462 (North Carolina) | Primary |
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