Individual
LORI WOLFBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 HIDDEN OAK DR, CRYSTAL LAKE, IL 60012-1249
(815) 353-2827
Mailing address
6302 HIDDEN OAK DR, CRYSTAL LAKE, IL 60012-1249
(815) 353-2827
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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