Dereck Wolfgram, LCSW,SAC-IT

NPI #1174093744 in Hartland, Wisconsin

Provider Information

NPI Number
1174093744
Entity Type
Individual
Name
Dereck Wolfgram, LCSW,SAC-IT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LCSW,SAC-IT
Enumeration Date
Nov 27, 2018
Last Updated
Mar 12, 2020

Practice Location

Address
555 S INDUSTRIAL DR
ZIP Code
53029-2338
Phone
(262) 404-4049

Specialties & Taxonomy Codes

Specialty
Social Worker

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