Individual
NATALIE C WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
104100000X
Social Worker
Primary
15921
SC
1041C0700X
Clinical Social Worker
Primary
18690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
08/31/2021
Last updated
04/07/2026
Update your record
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