Individual
BRADLEY WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2625 BUTTERFIELD RD STE 101N, OAK BROOK, IL 60523-3405
(630) 586-0900
(630) 586-9990
Mailing address
200 FOX CHASE DR N, OSWEGO, IL 60543-8889
(630) 772-7783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011615
IL
1041S0200X
School Social Worker
1914594
IL
Other
Enumeration date
01/30/2019
Last updated
08/18/2021
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