Organization
AVI VODNOY WOLF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVI VODNOY WOLF LCPC (THERAPIST AND OWNER)
(219) 928-8685
Entity
Organization
Contact information
Practice address
1301 W MORSE AVE APT 3, CHICAGO, IL 60626-7306
(219) 928-8685
Mailing address
1301 W MORSE AVE APT 3, CHICAGO, IL 60626-7306
(219) 928-8685
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
12/20/2023
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