Individual
MS. SARA ANN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1950
Mailing address
102 W 3RD ST, APT. #2, SOUTH BOSTON, MA 02127-1119
(617) 910-7117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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