Individual
STACY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
123 MAYOR LN, FELTON, DE 19943-9220
(646) 623-3535
Mailing address
123 MAYOR LN, FELTON, DE 19943-9220
(646) 623-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
DE
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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