Individual
MINDY WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1012 SNAKE HILL RD, NORTH SCITUATE, RI 02857-2825
(401) 271-6686
Mailing address
1012 SNAKE HILL RD, NORTH SCITUATE, RI 02857-2825
(401) 271-6686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW01990
RI
1041C0700X
Clinical Social Worker
Primary
ISW03114
RI
Other
Enumeration date
02/14/2017
Last updated
09/29/2020
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