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Individual

DARCY WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1818 GRAND AVE, WAUSAU, WI 54403-6869
(715) 848-4884
Mailing address
513 ALLEN ST, ATHENS, WI 54411-9503
(715) 316-2453

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
134507-121
WI
1041C0700X
Clinical Social Worker
12481
WI
1041C0700X
Clinical Social Worker
Primary
12481-123
WI
224Z00000X
Occupational Therapy Assistant
4681-27
WI

Other

Enumeration date
10/22/2010
Last updated
03/18/2026
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