Individual
ABIGAIL WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2800 W WILLOW ST, LANSING, MI 48917-1833
(517) 323-4734
(517) 886-1158
Mailing address
2800 W WILLOW ST, LANSING, MI 48917-1833
(517) 323-4734
(517) 886-1158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088461
MI
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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