Individual
CAITLYN MAUREEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 WASHINGTON ST, RENO, NV 89503-5604
(775) 453-4149
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7533-C
NV
Other
Enumeration date
08/31/2007
Last updated
05/05/2021
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