Individual
JESSICA ANN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1665 OLD HOT SPRINGS RD, CARSON CITY, NV 89706-0782
(775) 687-0874
Mailing address
2731 CLAPHAM LN, MINDEN, NV 89423-9235
(775) 720-1802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8857-C
NV
Other
Enumeration date
07/20/2020
Last updated
11/19/2021
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