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Organization
WOLF THERAPY LTD
Active
Organization
WOLF THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARIE LUCAS MS, CCC-SLP/L (OWNER)
(708) 670-5659
Entity
Organization
Contact information
Practice address
4925 HIGHLAND AVE, DOWNERS GROVE, IL 60515-3627
(708) 670-5659
Mailing address
4925 HIGHLAND AVE, DOWNERS GROVE, IL 60515-3627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
060011474
IL
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/08/2015
Last updated
04/24/2025
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