Individual
MS. KATHLEEN DIANE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 285-1812
Mailing address
201 8TH AVE, ROCK FALLS, IL 61071-1135
(815) 625-6077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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