MRS. Stehanie D Wall

NPI #1083045306 in Raeford, North Carolina

Provider Information

NPI Number
1083045306
Entity Type
Individual
Name
MRS. Stehanie D Wall
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Dec 12, 2013
Last Updated
Jan 9, 2015

Practice Location

Address
1357 WAYSIDE RD
ZIP Code
28376-6513
Phone
(910) 565-2139

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Case Manager/Care Coordinator
Private Vehicle

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