| Renee J Wolf Inc | |
|
109 Professional Park Dr Ste 100 Mooresville NC 28117-5538 | |
| (407) 782-3494 | |
| Not Available |
| Full Name | Renee J Wolf Inc |
|---|---|
| Speciality | Social Worker |
| Location | 109 Professional Park Dr Ste 100, Mooresville, North Carolina |
| Authorized Official Name and Position | Renee J Wolf (PRESIDENT) |
| Authorized Official Contact | 4077823494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee J Wolf Inc 107 Monument Ct Mooresville NC 28115-3464 Ph: () - | Renee J Wolf Inc 109 Professional Park Dr Ste 100 Mooresville NC 28117-5538 Ph: (407) 782-3494 |
| NPI Number | 1912656232 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 6800283896 |
|---|---|
| Medicare Enrollment ID | O20220421000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912656232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee J Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932568631 PECOS PAC ID: 7214290386 Enrollment ID: I20180424002533 |
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