Individual
ELIZABETH E WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1799 THOMAS AVE, SAINT PAUL, MN 55104-1728
(612) 703-2117
Mailing address
1799 THOMAS AVE, SAINT PAUL, MN 55104-1728
(612) 703-2117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28641
MN
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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