MS. Shirley Ann Woolfolk, LICDC
MS. Shirley Ann Woolfolk, LICDC is an Undefined Non-Physician Type (Specify) in Cleveland, Ohio. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Ohio.
- Years since qualifying
- 10
- Licensed in
- OH
- In the registry since
- 2017
Practice location Address checks out
3577 E 144th StCleveland, OH 44120-4808
Phone: (216) 338-5788
Fax: (216) 338-5788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 161470 (OH) |
|---|
Record details
| NPI number | 1194249680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICDC |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2017 |
| Last updated in NPPES | July 27, 2017 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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