Individual
MR. ANDREW J WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
408 RED CEDAR ST, AURORA COMMUNTIY COUNSELING EMPLOYEE SUPPORT & SERVICES, MENOMONIE, WI 54751
(715) 235-4696
(715) 235-3941
Mailing address
20790 175TH STREET, CORNELL, WI 54732
(715) 288-6926
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6863 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39715900
—
WI
Enumeration date
11/22/2006
Last updated
07/08/2007
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