Individual
MRS. JUDY WERGER WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
301 N MALL ST, LAFAYETTE, LA 70503-2219
(337) 237-4835
Mailing address
301 N MALL ST, LAFAYETTE, LA 70503-2219
(337) 237-4835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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