Individual
ANDREA WALLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 CATES AVENUE, RALEIGH, NC 27695-0001
(919) 515-2423
Mailing address
2449 BERTIE DR, RALEIGH, NC 27610-1730
(919) 889-3569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015277
NC
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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