Wolfe, Susan Tipton

Wolfe, Susan Tipton is an sole proprietor health care provider with primary practice located at 19 Laurelwood Cv , Jackson TN 38305-8559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wolfe, Susan Tipton can be contacted via phone (731) 660-8516.

Contact Information

Primary practice address
19 Laurelwood Cv Jackson TN 38305-8559
Fax: (731) 660-8516
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0000000367 Tennessee

Profile Details

NPI number 1144347931
LBN Legal business name Wolfe, Susan Tipton
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2007
Last updated May 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144347931 NPPES
Tennessee Other 091027 VALUEOPTIONS
Tennessee Other 2008640 VALUEOPTIONS

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