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1417529835
MICHAEL WALL
CHARLOTTE, NC
NPI
1417529835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
MICHAEL WALL
240 W KINGSTON AVE
CHARLOTTE, NC 28203-4434
Phone number: 704-998-1390
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Mailing Address
MICHAEL WALL
240 W KINGSTON AVE
CHARLOTTE, NC 28203-4434
Phone number: 704-998-1390
Copy
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