Individual
JENELLE WALERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2701 13TH AVE S, FARGO, ND 58103-3602
(701) 234-3620
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5552
ND
1041C0700X
Clinical Social Worker
Primary
5552
ND
Other
Enumeration date
03/08/2021
Last updated
06/22/2026
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