Individual
DR. AMI C. WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Mailing address
3395 WATERSHED BLVD, LAUREL, MD 20724-1324
(540) 498-8711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14565
MD
Other
Enumeration date
05/06/2024
Last updated
08/15/2024
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