Individual
REGINA YVETTE WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2384 HUCKINS CT, JACKSONVILLE, FL 32225-1558
(904) 386-8867
Mailing address
2384 HUCKINS CT, JACKSONVILLE, FL 32225-1558
(904) 386-8867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW16516
FL
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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