Individual
LOUISE ANN WILL-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21 CRAWFORD QUARRY RD STE 4, FALLING WATERS, WV 25419-4695
(803) 422-0792
Mailing address
21 CRAWFORD QUARRY RD STE 4, FALLING WATERS, WV 25419-4695
(803) 422-0792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1081
WV
103TC0700X
Clinical Psychologist
Primary
499
SC
Other
Enumeration date
06/04/2006
Last updated
12/02/2013
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