Individual
LEA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
Mailing address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134867
WI
374J00000X
Doula
W410-5337-8912-04
WI
Other
Enumeration date
01/09/2017
Last updated
10/07/2024
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