TERRY L WALL

SHERIDAN, WY
NPI1013162072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WY  LMFT-078)
Enumeration Date2008-11-18
Last Update Date2008-11-18
Business Address
-- TERRY L WALL MA
45 E LOUCKS ST SUITE 301
SHERIDAN, WY 82801-6339
Phone number: 307-751-1406
Mailing Address
-- TERRY L WALL MA
1100 US HIGHWAY 14
BANNER, WY 82832-9711
Phone number: 307-751-1406
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