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1780957787
THOMAS C WOLFE
LEAVENWORTH, KS
NPI
1780957787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 505)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- THOMAS C WOLFE LCAC
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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Mailing Address
-- THOMAS C WOLFE LCAC
500 LIMIT ST
LEAVENWORTH, KS 66048-4435
Phone number: 913-682-5118
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