| Dereck Wolfgram, LCSW | |
|
1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 | |
| (262) 999-3495 | |
| Not Available |
| Full Name | Dereck Wolfgram |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1230 Corporate Center Dr Ste 100, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174093744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9365-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dereck Wolfgram, LCSW 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 999-3495 | Dereck Wolfgram, LCSW 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 999-3495 |
Mrs. Ann C. Neeb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 A South Silver Lake St., Oconomowoc, WI 53066 Phone: 262-567-4455 | |
Elizabeth Turner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 405 E Forest St Ste 106, Oconomowoc, WI 53066 Phone: 920-988-1067 | |
Kathleen M Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 Woodland Ln, Oconomowoc, WI 53066 Phone: 262-567-7480 | |
Aimee M Metzger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 405 E Forest St Ste 106, Oconomowoc, WI 53066 Phone: 262-804-7729 | |
Mr. Lyle Norbert Neeb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119a S. Silver Lake St, Oconomowoc, WI 53066 Phone: 262-567-4455 | |
Mrs. Rochelle Lois Ervin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 Foxwood Pass, Oconomowoc, WI 53066 Phone: 724-372-0762 |