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Organization
LMWALL, LICSW, CADC-II, LLC
Active
Organization
LMWALL, LICSW, CADC-II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M WALL LICSW, CADC-II (OWNER)
(413) 320-1751
Entity
Organization
Contact information
Practice address
120 DUNPHY DRIVE, NORTHAMPTON, MA 01062-9602
(413) 320-1751
(413) 327-9523
Mailing address
120 DUNPHY DRIVE, FLORENCE, MA 01062-9602
(413) 320-1751
(413) 327-9523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
10/05/2022
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