SearchMinnesota104100000X

Evan Wallenfelsz, LICSW

NPI 1912578188 · on the registry since 2021

Practice

Address
2495 Maplewood Dr N Ste 312
Maplewood, MN 55109
Phone
(651) 760-3109
Fax
(651) 760-3109
Clinicians at this address
17

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota