Individual
MAXWELL WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 RAVINIA PL, ORLAND PARK, IL 60462-3761
(301) 717-9173
Mailing address
2439 N MOZART ST, CHICAGO, IL 60647-2613
(301) 717-9173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102023
IL
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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