Individual
JEREMEY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6304 CASTLE HEIGHTS RD, JOPLIN, MO 64804-6001
(417) 291-4386
Mailing address
6304 CASTLE HEIGHTS RD, JOPLIN, MO 64804-6001
(417) 291-4386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009037825
MO
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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