Individual
MR. ANDREW LEONARD WALD
Active
Individual
MR. ANDREW LEONARD WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
02864
MD
1041C0700X
Clinical Social Worker
Primary
2684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02864
SOCIAL WORK
MD
Enumeration date
03/29/2007
Last updated
04/08/2022
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