Individual
NICOLE LYNN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 943-0414
Mailing address
1201 N JUNIATA ST APT 3, HOLLIDAYSBURG, PA 16648-1151
(814) 515-5296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142344
PA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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