EVAN WALLENFELSZ, LICSW

Social Worker

Active Individual
NPI: 1912578188

Practice Address

2495 MAPLEWOOD DR N STE 312
Maplewood, MN 55109

Phone: (651) 760-3109

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 25117 (MN)

Frequently Asked Questions

NPI 1912578188 is the National Provider Identifier for EVAN WALLENFELSZ, LICSW, a Social Worker provider located in Maplewood, MN. This NPI was enumerated on July 8, 2021.
EVAN WALLENFELSZ, LICSW practices at 2495 MAPLEWOOD DR N STE 312, Maplewood, MN 55109.

Quick Facts

NPI
1912578188
Type
Individual
Enumerated
Jul 8, 2021
Last Updated
Jul 8, 2021

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