Individual
BRIANNA MARIE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 GROVE ST, WORCESTER, MA 01605-3934
(774) 670-0745
Mailing address
288 GROVE ST, WORCESTER, MA 01605-3934
(774) 670-0745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
05/05/2026
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