Individual
TASHA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5130 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7870
(301) 609-9887
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
(301) 609-9091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MD
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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