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1730873803
DAVID PAYNE WOLF
CHAMPAIGN, IL
NPI
1730873803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.014985)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
DAVID PAYNE WOLF LPC
206 N. RANDOLPH, SUITE 501
CHAMPAIGN, IL 61820
Phone number: 217-766-6225
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Mailing Address
DAVID PAYNE WOLF LPC
1421 WINDING LANE
CHAMPAIGN-URBANA ILLINOIS, IL 61820
Phone number: 217-766-6625
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