Individual
KY'LEAH WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
315 W 3RD ST, FARMVILLE, VA 23901-1293
(434) 395-4973
(434) 395-2969
Mailing address
PO BOX 197, FARMVILLE, VA 23901-0197
(434) 395-4973
(434) 395-2969
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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