Individual
JAMES MICHAEL WALCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1165 ARCADE ST, SAINT PAUL, MN 55106-2615
(651) 772-5598
Mailing address
1355 WARNER AVE N, MAHTOMEDI, MN 55115-1953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16515
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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