Wahlberg, Mary Claire

Wahlberg, Mary Claire is an individual health care provider with primary practice located at 408 Saint Peter St Suite 429, Saint Paul MN 55102-1130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wahlberg, Mary Claire can be contacted via phone (651) 224-0614.

Contact Information

Primary practice address
408 Saint Peter St Suite 429 Saint Paul MN 55102-1130
Phone: (651) 224-0614
Fax: (651) 224-5754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1745 Minnesota

Profile Details

NPI number 1518966787
LBN Legal business name Wahlberg, Mary Claire
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518966787 NPPES
Other 29271WA BC/BS
Other 107385 BC/BS
Other 62-20851 BC/BS

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