Individual
CHRISTINA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
60 LAKE GEORGE RD # B, WALES, MA 01081-9534
(413) 348-4702
Mailing address
60 LAKE GEORGE RD # B, WALES, MA 01081-9534
(413) 348-4702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122417
MA
Other
Enumeration date
06/09/2016
Last updated
02/01/2020
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