Individual
ERIN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 464-2633
Mailing address
PO BOX 860912, PROVIDER ENROLLMENT - WI MCHS, MINNEAPOLIS, MN 55486-0912
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12108-123
WI
Other
Enumeration date
01/17/2025
Last updated
02/07/2025
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