Individual
MS. JULIE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
732 THIMBLE SHOALS BLVD. SUITE 702, NEWPORT NEWS, VA 23606-2612
(757) 761-4755
(757) 873-4915
Mailing address
732 THIMBLE SHOALS BLVD. SUITE 702, NEWPORT NEWS, VA 23606-2612
(757) 761-4755
(757) 873-4915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907277
—
VA
Enumeration date
05/04/2007
Last updated
07/08/2007
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