Individual
MR. DAN WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 453-6800
Mailing address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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