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Search › Massachusetts › 103K00000X

Demitrius Wall

NPI 1922849777 · on the registry since 2024

Practice

Address
10 Center St
Chicopee, MA 01013
Phone
(413) 540-1234
Fax
(413) 538-5169
Organisation at this address
Brain Solutions Lab
Pioneer Valley Counseling
Radiance Home Health Care Inc
Healing Internal Ministries Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-17

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 Massachusetts