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1487170551
KEVIN THOMAS WOLTER
NAPERVILLE, IL
NPI
1487170551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024184)
Enumeration Date
2017-08-20
Last Update Date
2022-04-05
Business Address
KEVIN THOMAS WOLTER LCSW
2272 95TH ST
NAPERVILLE, IL 60564-8942
Phone number: 630-753-9800
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Mailing Address
KEVIN THOMAS WOLTER LCSW
6830 CARPENTER ST
DOWNERS GROVE, IL 60516-3435
Phone number: 224-406-2056
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