Deborah Wallen

NPI #1477138659 in Mason, West Virginia

Provider Information

NPI Number: 1477138659
Entity Type: Individual
Name: Deborah Wallen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Mar 10, 2021
Last Updated: Mar 10, 2021

Practice Location

Address: 546 THIRD ST
City: Mason
State: West Virginia
ZIP Code: 25260
Phone: (407) 687-9860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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