Individual
ANNIE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
150 S WARNER RD STE 130, KING OF PRUSSIA, PA 19406-2826
(484) 442-0478
Mailing address
10 SHAKER LN, LITTLETON, MA 01460-1906
(978) 742-5960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PRE-LICENSED
PA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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