Individual
COURTNEY LEE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 461-0391
(715) 838-8423
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 461-0391
(715) 838-8423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
WI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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