Individual
SUSAN M WOOLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
412 6TH AVE APT 12, CORALVILLE, IA 52241-2381
(312) 363-8142
Mailing address
412 6TH AVE APT 12, CORALVILLE, IA 52241-2381
(312) 363-8142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001469
IA
101YP2500X
Professional Counselor
180007368
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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