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Organization
WOLFLEG COUNSELING
Active
Organization
WOLFLEG COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT SMITH LISW (PRESIDENT)
(319) 936-6248
Entity
Organization
Contact information
Practice address
2871 HEINZ RD, STE 'B', IOWA CITY, IA 52240-8196
(319) 936-6248
Mailing address
2871 HEINZ RD, STE 'B', IOWA CITY, IA 52240-8196
(319) 936-6248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02512
IA
101YP2500X
Professional Counselor
02512
IA
1041C0700X
Clinical Social Worker
02512
IA
Other
Enumeration date
01/20/2007
Last updated
11/29/2010
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