Individual
MR. JERMAINE A WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
459 MAIN ST # 357, TRUSSVILLE, AL 35173-1416
(205) 418-8223
(205) 708-0094
Mailing address
459 MAIN ST # 357, TRUSSVILLE, AL 35173-1416
(205) 418-8223
(205) 708-0094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4041C
AL
Other
Enumeration date
06/27/2015
Last updated
08/11/2019
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