Individual
DR. WALT HAMMERLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 W 7TH ST, THIBODAUX, LA 70301-3214
(985) 227-1489
Mailing address
618 SAINT PHILIP ST, THIBODAUX, LA 70301-3236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3709
LA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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