Jordan Jon Wolf LCSW, BCD

NPI 1043578909 - Social Worker - 1041C0700X

NPI Details
NPI 1043578909
Gender Male
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9224 CAMERON LANE
MORTON GROVE IL, 60053, US
Phone (847) 877-7893
Fax
Business Location
9224 CAMERON LANE
MORTON GROVE IL, 60053, US
Phone (847) 877-7893
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149-011121
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According to our database, Mr. Jordan Jon Wolf LCSW, BCD NPI is 1043578909, taxonomy code is 1041C0700X and license number is 149-011121, license state is located at Illinois. Jordan Jon Wolf LCSW, BCD physically located at 9224 Cameron Lane, Morton Grove IL, 60053. NPI Number Jordan Jon Wolf LCSW, BCD has the Individual type.

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1043578909 NPI number is provided on an as is basis without warranty of any kind. 1043578909 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Jon Wolf LCSW, BCD are for informational purposes only.