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1861235210
GREGORY WALL
BATH, ME
NPI
1861235210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL7541)
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
GREGORY WALL LCPC-C
40 FRONT ST
BATH, ME 04530-2507
Phone number: 215-873-4598
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Mailing Address
GREGORY WALL LCPC-C
104 HEAD TIDE RD
ALNA, ME 04535-3014
Phone number: 215-873-4598
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