Individual
KATHLEEN DIANE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 COURT SQ, WEST PLAINS, MO 65775-3444
(417) 255-9844
(417) 257-1116
Mailing address
PO BOX 33, POTTERSVILLE, MO 65790-0033
(417) 255-9844
(417) 257-1116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002622
MO
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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