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Individual

DR. ERNEST WALLWORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
3021 DAVENPORT ST NW, WASHINGTON, DC 20008-2116
(202) 244-7919
Mailing address
3021 DAVENPORT ST NW, WASHINGTON, DC 20008-2116
(202) 244-7919

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000175-1
NY
101YP2500X
Professional Counselor
74
DC
102L00000X
Psychoanalyst
Primary
000038
NY

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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