Individual
DARLENE L WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 HILLANDALE DR APT 434, LITHONIA, GA 30058-1891
(404) 519-6495
(770) 322-7996
Mailing address
PO BOX 1343, PINE LAKE, GA 30072-1343
(770) 322-7996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
(INACTIVE)1836
GA
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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