Mr. Wolly Jefferson Joseph
Mr. Wolly Jefferson Joseph is a Speech-Language Assistant in East Chicago, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2023
Practice location Address checks out
1224 Beacon St Apt 3East Chicago, IN 46312-4213
Phone: (508) 897-9171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Assistant (primary) | Taxonomy 2355S0801X · Licence 29002063A (IN) |
|---|
Record details
| NPI number | 1962193169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2023 |
| Last updated in NPPES | May 17, 2023 |
| Certification date | May 17, 2023 |