Individual
DANIEL ANDREW WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 7TH ST NW, NORTH CANTON, OH 44720-2440
(330) 361-0550
Mailing address
606 7TH ST NW, NORTH CANTON, OH 44720-2440
(330) 361-0550
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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