Individual
DEBBIE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MANCHESTER EXPY STE A13, COLUMBUS, GA 31904-6483
(706) 653-9343
Mailing address
506 MANCHESTER EXPY STE A13, COLUMBUS, GA 31904-6483
(706) 653-9343
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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