Larra Wall
Larra Wall is an Emotionally Disturbed Childrens' Residential Treatment Facility in Toledo, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1820 Berdan AveToledo, OH 43613-4612
Phone: (419) 908-2320
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1417773276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 26, 2024 |
| Last updated in NPPES | November 26, 2024 |
| Certification date | November 26, 2024 |
| Mailing address | 1820 Berdan Ave, Toledo, OH 43613-4612 |
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