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Organization
KEVIN T WOLTER LCSW LLC
Active
Organization
KEVIN T WOLTER LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN T WOLTER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(224) 406-2056
Entity
Organization
Contact information
Practice address
6830 CARPENTER ST, DOWNERS GROVE, IL 60516-3435
(224) 406-2056
Mailing address
6830 CARPENTER ST, DOWNERS GROVE, IL 60516-3435
(224) 406-2056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/13/2024
Last updated
09/16/2024
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