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Individual

MR. JAMES MICHAEL WOLF JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
(417) 866-1483
Mailing address
713 COLBY ST, WILLARD, MO 65781-8360
(417) 685-4185

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007029214
MO

Other

Enumeration date
09/26/2007
Last updated
06/13/2008
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