Individual
MRS. EILEEN S WOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2862 FOXWOOD DR, NEW LENOX, IL 60451-8546
(708) 320-8062
Mailing address
2862 FOXWOOD DR, NEW LENOX, IL 60451-8546
(815) 954-1802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149008967
IL
1041C0700X
Clinical Social Worker
149008967
IL
Other
Enumeration date
10/03/2006
Last updated
04/28/2023
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