Individual
MS. MARY CLAIRE WAHLBERG
Active
Individual
MS. MARY CLAIRE WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1745
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107385
U CARE
—
01
—
29271WA
BC/BS
—
01
—
62-20851
MEDICA
—
Enumeration date
07/19/2005
Last updated
07/13/2026
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