Individual
MARY K WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32 S MAIN ST, JANESVILLE, WI 53545-3941
(608) 618-5560
(855) 277-9589
Mailing address
32 S MAIN ST, JANESVILLE, WI 53545-3941
(608) 618-5560
(855) 277-9589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10287
MN
1041C0700X
Clinical Social Worker
Primary
8260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053097
—
WI
05
—
101622900
—
MN
Enumeration date
12/28/2005
Last updated
11/03/2023
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