Individual
NATALIE MARIE WALLENFANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4285 N RANCHO DR, LAS VEGAS, NV 89130-3446
(702) 385-5331
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10848-C
NV
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/19/2018
Last updated
08/02/2023
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