| Doctor Name: | JOAN PALMQUIST WOLFORD |
| NPI Number: | 1033119060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34001253A |
| Business Practice Address: | 290 A East 90th Drive Merrillville, IN - 46410 |
| Business Phone Number: | 2197369115 |
| Business Fax Number: | 2197369131 |
| Mailing Address: | 8400 Louisiana Street, MERRILLVILLE |
| State: | IN |
| Postal Code: | 46410 |
| Phone Number: | 2519757192 |
| Fax Number: | 2197571950 |
| NPI Enumeration Date: | 08/01/2005 |
| NPI Last Update Date: | 05/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34001253A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |