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Contact Information

WENDY S KRALL TIBALDO, LMSW
103 W US HIGHWAY 2
WAKEFIELD, MI49968
 Phone: 906-229-6120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for WENDY S KRALL TIBALDO · (Female)

NPI Number 1356786057
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 05/08/2013
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6801094842
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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