Individual
MRS. DIANE GAIL WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1095 UNIVERSITY DR, EDWARDSVILLE, IL 62025-3961
(618) 656-1081
(618) 656-7083
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003093
IL
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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