Larry L Walls SW

NPI 1720403082 - Social Worker - 104100000X

NPI Details
NPI 1720403082
Gender Male
Enumeration Date 02/24/2014
Last Updated 02/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
220 E LACROSSE ST
JUNEAU COUNTY HUMAN SERVICES
MAUSTON WI, 53948-2101, US
Phone (608) 847-2400
Fax (608) 847-2400
Business Location
220 E LACROSSE ST
JUNEAU COUNTY HUMAN SERVICES
MAUSTON WI, 53948-2101, US
Phone (608) 847-2400
Fax (608) 847-9599
Toxanomy
Taxonomy Code 104100000X
License State Wisconsin
License Number 2798-120
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According to our database, Larry L Walls SW NPI is 1720403082, taxonomy code is 104100000X and license number is 2798-120, license state is located at Wisconsin. Larry L Walls SW physically located at 220 E Lacrosse St, Mauston WI, 53948-2101. NPI Number Larry L Walls SW has the Individual type.

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1720403082 NPI number is provided on an as is basis without warranty of any kind. 1720403082 is maintained by the National Plan & Provider Enumeration System. The contents of Larry L Walls SW are for informational purposes only.