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General NPI Number Information
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NPI Number | 1659765063
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Entity Type | Organization
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Legal Business Name | LAURA J. WOLFE COUNSELING, LTD.
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 1240 IROQUOIS AVE STE 100 SUITE 100
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City | NAPERVILLE
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State | IL
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Zip | 60563-8537
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Country | US
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Telephone | 708-769-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 941 LINDENWOOD DR
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City | AURORA
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State | IL
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Zip | 60506-5728
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Country | US
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Telephone | 708-769-3489
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA JEAN WOLFE
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Credential | LCPC
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Telephone | 708-769-3489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180006228
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License Number State | IL
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