DERECK WOLFGRAM

OCONOMOWOC, WI
NPI1174093744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  9365-123)
Enumeration Date2018-11-27
Last Update Date2026-02-20
Business Address
DERECK WOLFGRAM LCSW
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066-4883
Phone number: 262-999-3495
Mailing Address
DERECK WOLFGRAM LCSW
1230 CORPORATE CENTER DR STE 100
OCONOMOWOC, WI 53066-4883
Phone number: 262-999-3495
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