BREA WALLAKER
Social Worker - Clinical
Active
Individual
NPI: 1972098440
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 23429 (MN) |
Frequently Asked Questions
NPI 1972098440 is the National Provider Identifier for BREA WALLAKER, a Social Worker - Clinical provider located in Grand Rapids, MN. This NPI was enumerated on June 27, 2018.
BREA WALLAKER practices at 215 SE 2ND AVE, Grand Rapids, MN 55744.
Quick Facts
- NPI
- 1972098440
- Type
- Individual
- Enumerated
- Jun 27, 2018
- Last Updated
- Jun 27, 2018
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