Individual
JILL ELIZABETH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW, SAC-IT
Contact information
Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Mailing address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15675-130
WI
104100000X
Social Worker
126980-121
WI
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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