Kyle-Wolf, Lisa Marie
Kyle-Wolf, Lisa Marie is an sole proprietor health care provider with primary practice located at 7501 N University St Ste 217B , Peoria IL 61614-1252. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kyle-Wolf, Lisa Marie can be contacted via phone (309) 696-8369.Contact Information
Primary practice address
7501 N University St Ste 217B
Peoria IL 61614-1252
Phone: (309) 696-8369
Fax: (312) 254-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002070 | Illinois |
Profile Details
| NPI number | 1306819776 |
|---|---|
| LBN Legal business name | Kyle-Wolf, Lisa Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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