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1497924914
JANIS L WOLF
MATTOON, IL
NPI
1497924914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007080)
Enumeration Date
2008-02-28
Last Update Date
2013-04-08
Business Address
-- JANIS L WOLF LCSW
501 LAKE LAND BLVD
MATTOON, IL 61938-5283
Phone number: 217-258-3370
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Mailing Address
-- JANIS L WOLF LCSW
501 LAKELAND BLVD
MATTOON, IL 61938-4610
Phone number: 217-238-3370
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