MS. KIMBERLY WALLACH, STUDENT/INTERN
Social Worker - Clinical
Active
Individual
NPI: 1407528029
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | 116885-01 (NY) |
Frequently Asked Questions
NPI 1407528029 is the National Provider Identifier for MS. KIMBERLY WALLACH, STUDENT/INTERN, a Social Worker - Clinical provider located in Mount Vernon, NY. This NPI was enumerated on October 1, 2021.
MS. KIMBERLY WALLACH, STUDENT/INTERN practices at 11 W PROSPECT AVE FL 4, Mount Vernon, NY 10550.
Quick Facts
- NPI
- 1407528029
- Type
- Individual
- Enumerated
- Oct 1, 2021
- Last Updated
- Feb 1, 2023
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