Larry L Walls, LICENSED PROFESSIONA

NPI #1720403082 in Mauston, Wisconsin

Provider Information

NPI Number: 1720403082
Entity Type: Individual
Name: Larry L Walls, LICENSED PROFESSIONA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LICENSED PROFESSIONA
Enumeration Date: Feb 24, 2014
Last Updated: Jun 29, 2018

Practice Location

Address: JUNEAU COUNTY DEPT OF HUMAN SERVICES
Address 2: 200 HICKORY ST
City: Mauston
State: Wisconsin
ZIP Code: 53948
Phone: (608) 847-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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