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1205299781
MYKEL WOLFE
MARION, IL
NPI
1205299781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.018383)
Enumeration Date
2016-04-01
Last Update Date
2016-09-13
Business Address
-- MYKEL WOLFE LCSW
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 314-346-1667
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Mailing Address
-- MYKEL WOLFE LCSW
914 W WALNUT ST APT. D
MARION, IL 62959-2744
Phone number: 618-841-4898
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