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1619029683
JUDITH V WALL
STUART, FL
NPI
1619029683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW3067)
Enumeration Date
2007-01-18
Last Update Date
2011-07-06
Business Address
-- JUDITH V WALL LCSW
759 SW FEDERAL HWY #203
STUART, FL 34994-2914
Phone number: 772-219-0779
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Mailing Address
-- JUDITH V WALL LCSW
4104 SE CENTERBOARD LANE SUITE 205
STUART, FL 34994
Phone number: 772-219-0779
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