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AUTUMN WALL, LCSW

LCSW

Clinical Social Worker

NPI: 1871986661IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

149.017038(IL)34007785A(IN)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Class of 2012

Contact & Hours

Address
1116 N 16TH ST
LAFAYETTE, IN 47904

Quick Facts

NPI
1871986661
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
14

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