SearchWisconsin101YP2500X

Larry Walls, LICENSED PROFESSIONA

NPI 1720403082 · on the registry since 2014

Practice

Address
Juneau County Dept Of Human Services
200 Hickory St
Mauston, WI 53948
Phone
(608) 847-2400
Fax
(608) 847-9421
Clinicians at this address
23

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-29

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 Wisconsin