MR. Benjamin J Wolf, LICSW

NPI #1538370820 in Andover, Minnesota

Provider Information

NPI Number: 1538370820
Entity Type: Individual
Name: MR. Benjamin J Wolf, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13750 CROSSTOWN DR NW
Address 2: SUITE L101
City: Andover
State: Minnesota
ZIP Code: 55304-5853
Phone: (763) 482-9598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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