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Organization
WOLFE BEHAVIORAL HEALTH P.C.
Active
Organization
WOLFE BEHAVIORAL HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA MARIE WOLFE PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(815) 462-3827
Entity
Organization
Contact information
Practice address
339 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3827
(815) 462-3837
Mailing address
683 JULI DR, NEW LENOX, IL 60451-1269
(815) 462-3827
(815) 462-3837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932429
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/17/2006
Last updated
02/12/2008
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