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Individual

CARLY E WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4341 S HIGHWAY 27, SOMERSET, KY 42501-6105
(606) 282-8892
Mailing address
67 BONNIE BLUE LN, BRONSTON, KY 42518-9668
(606) 282-8892

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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