Terry L Wall, MA

NPI #1013162072 in Sheridan, Wyoming

Provider Information

NPI Number
1013162072
Entity Type
Individual
Name
Terry L Wall, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MA
Enumeration Date
Nov 18, 2008
Last Updated
Nov 18, 2008

Practice Location

Address
45 E LOUCKS ST
Address 2
SUITE 301
State
Wyoming
ZIP Code
82801-6339
Phone
(307) 751-1406

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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