Individual
THOMAS EUGENE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 9TH AVE W, ALEXANDRIA, MN 56308-2221
(132) 076-3391
(132) 076-3662
Mailing address
19816 COUNTY ROAD 8, GLENWOOD, MN 56334-2218
(132) 027-8327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TEMPORARY-ADC
MN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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