Wolfrey, Mia M

Wolfrey, Mia M is an individual health care provider with primary practice located at 4171 Marietta St Ste 100B , Powder Springs GA 30127-4800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wolfrey, Mia M can be contacted via phone (678) 653-0448.

Contact Information

Primary practice address
4171 Marietta St Ste 100B Powder Springs GA 30127-4800
Phone: (678) 653-0448
Fax: (678) 653-0448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MSW006612 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X P009249 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW006132 Georgia

Profile Details

NPI number 1649663691
LBN Legal business name Wolfrey, Mia M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2015
Last updated Jul 21st, 2022 - about 2 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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