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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREA WALLAKER

Active

BREA WALLAKER is a Clinical Social Worker healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1972098440 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRAND RAPIDS, MN

Registration Details

NPI Number
1972098440
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2018 (8.1156451877046 yrs)
Last Updated
Jun 27, 2018
License
23429 (MN)

Practice Information

Address
215 SE 2ND AVE
GRAND RAPIDS, MN, 557443615
Browse MN providers · Browse ZIP 55744
Phone
2183261274
Fax
2183269787
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in GRAND RAPIDS, MN

Name Credential NPI
MS. LISA MARIE SILVESTRI-ADAMICH LICSW 1174604730
MS. ROCHELLE JEAN DELGRECO LICSW 1548341159
VICTORIA BECK LICSW 1316151418
LYNETTE SCHMIDT MSW LICSW 1255528980
JEAN HEITZMAN LICSW 1780871418
DEBRA OVERLEE LICSW 1942497680
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.