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Individual
VIRGINIA WALLS
Active
Individual
VIRGINIA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH13715
FL
101YM0800X
Mental Health Counselor
Primary
MH13715
FL
101YP1600X
Pastoral Counselor
13715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0KPZJ
FLORIDA BLUE
FL
Enumeration date
11/02/2015
Last updated
09/27/2024
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