Individual
PAMELA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9794 BAINS ROAD, SAINT FRANCISVILLE, LA 70775
(225) 635-5299
(225) 635-3387
Mailing address
PO BOX 2820, SAINT FRANCISVILLE, LA 70775-2820
(225) 635-5299
(225) 635-3387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1291
LA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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