MICHAEL PATRICK WALL

SEVERNA PARK, MD
NPI1063552586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MD  LCSWC07449)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
MR. MICHAEL PATRICK WALL LCSWC
692 RITCHIE HWY SUITE 203
SEVERNA PARK, MD 21146-3919
Phone number: 410-647-4862
Mailing Address
MR. MICHAEL PATRICK WALL LCSWC
64 DUNGARRIE RD
BALTO, MD 21228-3401
Phone number: 410-382-2859