ERIC LEE NELSON WALLEN

BONNE TERRE, MO
NPI1114556081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MO  2020009792)
Enumeration Date2020-04-03
Last Update Date2020-04-03
Business Address
ERIC LEE NELSON WALLEN LMSW
11 S DIVISION ST
BONNE TERRE, MO 63628-1772
Phone number: 573-723-1100
Mailing Address
ERIC LEE NELSON WALLEN LMSW
722 JANEY DR
FARMINGTON, MO 63640-9209
Phone number: 573-760-5520