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1063552586
MICHAEL PATRICK WALL
SEVERNA PARK, MD
NPI
1063552586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MD LCSWC07449)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
MR. MICHAEL PATRICK WALL LCSWC
692 RITCHIE HWY SUITE 203
SEVERNA PARK, MD 21146-3919
Phone number: 410-647-4862
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Mailing Address
MR. MICHAEL PATRICK WALL LCSWC
64 DUNGARRIE RD
BALTO, MD 21228-3401
Phone number: 410-382-2859
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