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1669799805
MICHAEL WAYNE WALL
MOUNT AIRY, NC
NPI
1669799805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 3233)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- MICHAEL WAYNE WALL LPC
784 W LEBANON ST
MOUNT AIRY, NC 27030-2218
Phone number: 336-293-3603
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Mailing Address
-- MICHAEL WAYNE WALL LPC
PO BOX 607
TOAST, NC 27049-0607
Phone number: 336-293-3603
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