Individual
GLORIA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 E MARKET ST, GEORGETOWN, DE 19947-2255
(302) 856-4700
Mailing address
528 E MARKET ST, GEORGETOWN, DE 19947-2255
(302) 856-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/30/2008
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