Individual
MR. DWIGHT A WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 RB WILSON DR, HUNTINGDON, TN 38344-1726
(731) 986-2213
(731) 986-0011
Mailing address
PO BOX 525, HUNTINGDON, TN 38344
(731) 986-2213
(731) 986-0011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004674
TN
Other
Enumeration date
03/02/2007
Last updated
01/14/2011
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