Tracey Malesa-Wheaton, Lcsw, LLC
NPI #1912696451 in South Bend, Indiana
Provider Information
- NPI Number
- 1912696451
- Entity Type
- Organization
- Organization Name
- Tracey Malesa-Wheaton, Lcsw, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 2, 2023
- Last Updated
- Mar 12, 2024
Practice Location
- Address
- 429 W LASALLE AVE APT 2
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46601-1166
- Phone
- (574) 520-8444
Authorized Official
- Name
- TRACEY MALESA-WHEATON
- Title
- OWNER
- Phone
- (574) 520-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Social Worker - Clinical — Clinical |
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