Individual
MS. MICHELE LEIGH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 OLYMPIA DR, MAUMELLE, AR 72113-6572
(317) 418-8432
Mailing address
101 OLYMPIA DR, MAUMELLE, AR 72113-6572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1907-M
AR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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