Individual
DA'VONNA WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7008 OHIO AVE APT F32, CINCINNATI, OH 45236-3553
(513) 252-4289
Mailing address
7008 OHIO AVE APT F32, CINCINNATI, OH 45236-3553
(513) 252-4289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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