Provider Information for 1821687567
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REBECCA M. WALSH LCSW
Sex: Female
NPI: 1821687567
Last Updated: 2021-09-22
Certification Date: 2021-09-22
Certification Date: 2021-09-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821687567 | ||||||||
| Enumeration Date | 2021-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1800 COMMUNITY CLINTON, MO 64735-8804 United States Phone: 660-885-8131 | Fax: | ||||||||
| Primary Practice Address | 1032 CROSSWINDS CT WENTZVILLE, MO 63385-4836 United States Phone: 844-853-8937 | Fax: | ||||||||
| Secondary Practice Address(es) | 3501 BERRYWOOD DR | ||||||||
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