Individual
MR. ABRAHAM WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15 WALLER ST, AUSTIN, TX 78702-5240
(512) 972-5134
Mailing address
15 WALLER , 1ST FLOOR, AUSTIN, TX 78702
(512) 972-5134
(512) 972-5451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
38959
TX
Other
Enumeration date
09/21/2006
Last updated
07/21/2022
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