Provider Demographics
NPI:1518546845
Name:WOLK, BOBBIE SUE (MS, PCC, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:SUE
Last Name:WOLK
Suffix:
Gender:F
Credentials:MS, PCC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6918 STELLA PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2454
Mailing Address - Country:US
Mailing Address - Phone:907-644-1011
Mailing Address - Fax:
Practice Address - Street 1:6918 STELLA PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2454
Practice Address - Country:US
Practice Address - Phone:907-644-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date: