Monique Mcwilliams Wall LCSW

NPI 1649448275 - Social Worker - 1041C0700X

NPI Details
NPI 1649448275
Gender Female
Enumeration Date 02/17/2008
Last Updated 02/27/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
110 W ENT AVE
ATTN: 21 MDOS/SGOH-MENTAL HEALTH
PETERSON AFB CO, 80914-1595, US
Phone (719) 556-8943
Fax (719) 556-7399
Business Location
110 W ENT AVE
ATTN: 21 MDOS/SGOH-MENTAL HEALTH
PETERSON AFB CO, 80914-1595, US
Phone (719) 556-8943
Fax (719) 556-7399
Toxanomy
Taxonomy Code 1041C0700X
License State Arkansas
License Number 1773-C
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According to our database, Monique Mcwilliams Wall LCSW NPI is 1649448275, taxonomy code is 1041C0700X and license number is 1773-C, license state is located at Arkansas. Monique Mcwilliams Wall LCSW physically located at 110 W Ent Ave, Peterson Afb CO, 80914-1595. NPI Number Monique Mcwilliams Wall LCSW has the Individual type.

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1649448275 NPI number is provided on an as is basis without warranty of any kind. 1649448275 is maintained by the National Plan & Provider Enumeration System. The contents of Monique Mcwilliams Wall LCSW are for informational purposes only.