Individual
KAITLIN WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 716-4156
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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