Individual
BRACHA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3008 W PRATT BLVD, CHICAGO, IL 60645-4124
(773) 531-1515
Mailing address
158 PARK AVE APT 2, PASSAIC, NJ 07055-5432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
099657-01
NY
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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