SUSAN WALLS

HAZARD, KY
NPI1710426986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  172049)
Enumeration Date2017-02-21
Last Update Date2017-02-21
Business Address
-- SUSAN WALLS
48 INDEPENDENCE DR
HAZARD, KY 41701-9443
Phone number: 606-487-1646
Mailing Address
-- SUSAN WALLS
48 INDEPENDENCE DR
HAZARD, KY 41701-9443
Phone number: 606-487-1646
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