Individual
MS. KIMBERLY DAWN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
484 MAIN ST STE 560, WORCESTER, MA 01608-1817
(508) 890-6519
(508) 363-0562
Mailing address
484 MAIN STREET. SUITE 560, WORCESTER, MA 01608
(508) 890-6519
(508) 363-0562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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