Individual
DAVID THOMAS WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
384 WASHINGTON ST, NORWELL, MA 02061-2010
(781) 871-6550
Mailing address
384 WASHINGTON ST, NORWELL, MA 02061-2010
(781) 871-6550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116887
MA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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