| Mark Wollam, LCSW | |
|
300 Summit St, Galena, IL 61036-1638 | |
| (815) 777-2836 | |
| Not Available |
| Full Name | Mark Wollam |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 300 Summit St, Galena, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124575048 | NPI | - | NPPES |
| 149019737 | Other | IL | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149019737 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wollam, LCSW Po Box 813, Freeport, IL 61032-0813 Ph: () - | Mark Wollam, LCSW 300 Summit St, Galena, IL 61036-1638 Ph: (815) 777-2836 |
Bonnie Cox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
Ms. Judith R Rowett, LISW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 S West St, Galena, IL 61036 Phone: 815-541-2503 Fax: 815-777-6937 | |
William J White, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 | |
William Bruce-boehler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Summit St, Galena, IL 61036 Phone: 815-777-2836 |