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1275719718
TERRI NORTHUP WALL
JACKSONVILLE, FL
NPI
1275719718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY 6112)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
Dr. TERRI NORTHUP WALL Ph.D.
13500 SUTTON PARK DR S SUITE 203
JACKSONVILLE, FL 32224-5251
Phone number: 904-992-9930
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Mailing Address
Dr. TERRI NORTHUP WALL Ph.D.
13500 SUTTON PARK DR S SUITE 203
JACKSONVILLE, FL 32224-5251
Phone number: 904-992-9930
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