Individual
DR. ANNA WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
333 E 34TH ST, APT 9G, NEW YORK, NY 10016-4977
(212) 689-1048
(646) 398-9367
Mailing address
333 E 34TH ST, APT 9G, NEW YORK, NY 10016-5231
(212) 689-1048
(646) 398-9367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RPO117461
NY
Other
Enumeration date
07/25/2006
Last updated
08/19/2014
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