Individual
CHRISTINE ANN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
125 FOX HARBOR DR, TROY, OH 45373-1088
(413) 627-0152
Mailing address
125 FOX HARBOR DR, TROY, OH 45373-1088
(413) 627-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115461
MA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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