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Individual

JOAN PALMQUIST WOLFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
290 A EAST 90TH DRIVE, MERRILLVILLE, IN 46410
(219) 736-9115
(219) 736-9131
Mailing address
8400 LOUISIANA STREET, MERRILLVILLE, IN 46410
(251) 975-7192
(219) 757-1950

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001253A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000358154
NONE
Enumeration date
08/01/2005
Last updated
05/25/2011
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