Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYANT WILLIS WALLS, LICSW
ActiveBRYANT WILLIS WALLS, LICSW is a School Social Worker healthcare provider located in NATICK, Massachusetts. NPI 1972078657 is currently active in the NPPES registry. Verify at CMS.
School Social Worker · NATICK, MA
Registration Details
- NPI Number
- 1972078657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2018 (7.886089919367 yrs)
- Last Updated
- Oct 9, 2018
- License
-
114169-SW-LICSW (MA)
Practice Information
- Address
-
22 RUTLEDGE RDNATICK, MA, 017601729Browse MA providers · Browse ZIP 01760
- Phone
- 5086476400
- Primary Specialty
-
School Social Worker
1041S0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.