Individual
JO BETH WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1398 W MAYFIELD RD STE 220, ARLINGTON, TX 76015-2356
(682) 777-4325
Mailing address
401 HEMPHILL ST APT 311, FORT WORTH, TX 76104-2243
(325) 669-2079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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