DERECK WOLFGRAM

HARTLAND, WI
NPI1174093744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: WI  131050)
Enumeration Date2018-11-27
Last Update Date2020-03-12
Business Address
DERECK WOLFGRAM LCSW,SAC-IT
555 S INDUSTRIAL DR
HARTLAND, WI 53029-2338
Phone number: 262-404-4049
Mailing Address
DERECK WOLFGRAM LCSW,SAC-IT
555 S INDUSTRIAL DR
HARTLAND, WI 53029-2338
Phone number: 262-468-8174
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