Individual
HENRIETTA WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 105, WASHINGTON, DC 20011-1137
(202) 525-3954
(202) 525-2580
Mailing address
PO BOX 2024, ELLICOTT CITY, MD 21041-2024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
08/21/2023
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