TARA M WALL
Psychologist


Address: 17300 Dowden Way, Poolesville, MD 20834

TARA M WALL (Credential# 790815) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is February 19, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

TARA M WALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002490. The credential type is psychologist. The effective date is February 19, 2004. The expiration date is February 28, 2005. The business address is 17300 Dowden Way, Poolesville, MD 20834. The current status is inactive.

Basic Information

Licensee Name TARA M WALL
Credential ID 790815
Credential Number 8.002490
Credential Type Psychologist
Business Address 17300 Dowden Way
Poolesville
MD 20834
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-07-10
Effective Date 2004-02-19
Expiration Date 2005-02-28
Refresh Date 2009-07-08

Office Location

Street Address 17300 DOWDEN WAY
City POOLESVILLE
State MD
Zip Code 20834

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Patricia Kuldell 19605 Seymour Ct, Poolesville, MD 20837-2293 Registered Nurse 1983-09-12 ~ 1991-08-31

Competitor

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City POOLESVILLE
Zip Code 20834
License Type Psychologist
License Type + County Psychologist + POOLESVILLE

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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