Individual
CATHERINE WALLENBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
4006 E NORTH ST STE C, GREENVILLE, SC 29615-6206
(864) 326-4696
Mailing address
4 SEQUIN CT, GREENVILLE, SC 29615-7207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9947
SC
Other
Enumeration date
09/09/2019
Last updated
09/26/2019
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