Individual
DORA MAE VON WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 NOTTINGHAM DR NW, ROCHESTER, MN 55901-3199
(507) 993-7731
Mailing address
3720 NOTTINGHAM DR NW, ROCHESTER, MN 55901-3199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30943
MN
Other
Enumeration date
07/19/2024
Last updated
07/24/2024
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