Individual
DEBORAH WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1575 HIGHWAY 371 W, NASHVILLE, AR 71852-7598
(870) 451-9742
(870) 451-9752
Mailing address
127 WOODRUFF LN, NASHVILLE, AR 71852-7542
(870) 557-1094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A0302010
AR
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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