Organization
DW ENTERPRISES
Active
Other names
Hickory Creek Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA M WOLFE PSYD (CLINICAL DIRECTOR)
(815) 462-3827
Entity
Organization
Contact information
Practice address
335 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3827
(815) 462-3837
Mailing address
335 ALANA DR, NEW LENOX, IL 60451-1766
(815) 462-3827
(815) 462-3837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006506
IL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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