Individual
DONNA WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2704 COUNTY ROAD 1103, SULPHUR SPRINGS, TX 75482-7543
(903) 439-5307
Mailing address
2704 COUNTY ROAD 1103, SULPHUR SPRINGS, TX 75482-7543
(903) 439-5307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54792
TX
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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