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Organization
MICHELLE L WALL, LLC
Active
Organization
MICHELLE L WALL, LLC
Active
Other names
ABC Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WALL MHS, LRC (OWNER)
(225) 667-4014
Entity
Organization
Contact information
Practice address
3233 S SHERWOOD FOREST BLVD, SUITE 200-A, BATON ROUGE, LA 70816-2250
(225) 295-8190
(225) 295-8192
Mailing address
PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
(225) 667-4014
(225) 667-4886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2203782119
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625531
—
LA
Enumeration date
03/28/2016
Last updated
03/28/2016
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