Organization
DW ENTERPRISES LLC
Active
Other names
Hickory Creek Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA MARIE WOLFE PSYD (LICENSED CLINICAL PSYCHOLOLIGST / D)
(815) 462-3827
Entity
Organization
Contact information
Practice address
331 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3827
Mailing address
331 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3827
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071006506
IL
103TC0700X
Clinical Psychologist
071006506
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071006506
IL
Other
Enumeration date
03/12/2013
Last updated
08/28/2013
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