Individual
JERRY BALCOM WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
33 E ARMITAGE AVE, ADDISON, IL 60101-4853
(630) 530-2510
(630) 530-2569
Mailing address
33 E ARMITAGE AVE, ADDISON, IL 60101
(630) 530-2510
(630) 530-2569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002142
IL
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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