Individual
MATTHEW WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
684 VILLAGE HWY, RUSTBURG, VA 24588-4374
(434) 332-3458
Mailing address
684 VILLAGE HWY, RUSTBURG, VA 24588-4374
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PPS-0602616
VA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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