Individual
KENDRA ELAINE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
801 W 34TH ST, SUITE 100, AUSTIN, TX 78705-1156
(512) 706-4562
(512) 323-6542
Mailing address
801 W 34TH ST, SUITE 100, AUSTIN, TX 78705-1156
(512) 706-4562
(512) 323-6542
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2002351
TX
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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