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1366758203
LISA M WALL
NORTHAMPTON, MA
NPI
1366758203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 122526)
Enumeration Date
2010-08-30
Last Update Date
2023-08-10
Business Address
LISA M WALL LICSW, CADC-II
120 DUNPHY DRIVE
NORTHAMPTON, MA 01062-9602
Phone number: 413-230-2530
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Mailing Address
LISA M WALL LICSW, CADC-II
120 DUNPHY DR
NORTHAMPTON, MA 01062-9602
Phone number: 413-320-1751
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