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Individual

EMILY ROSE WALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
201 9TH ST, MARINA, CA 93933-6039
(831) 884-1000
Mailing address
1141 LIGHTHOUSE AVE APT 231, PACIFIC GROVE, CA 93950-2339
(210) 793-0808

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113094
TX
104100000X
Social Worker
44SL06976200
NJ

Other

Enumeration date
01/10/2025
Last updated
01/10/2025
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