Individual
MS. ALISA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-6598
Mailing address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-6598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008732
IL
Other
Enumeration date
10/16/2006
Last updated
09/10/2010
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