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Eric Wallen, LMSW
NPI 1114556081 · on the registry since 2020
Practice
- Address
- 11 S Division St
Bonne Terre, MO 63628 - Phone
- (573) 723-1100
- Organisation at this address
- Bonne Terre Healthcare Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri