Search › Colorado › 1041C0700X
Monique Wall, LCSW
NPI 1649448275 · on the registry since 2008
Practice
- Address
- 110 W Ent Ave
Attn: 21 Mdos/Sgoh-Mental Health
Peterson Afb, CO 80914 - Phone
- (719) 556-8943
- Fax
- (719) 556-7399
- Organisation at this address
- 21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- AR, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-30
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 Colorado