Individual
MS. SALLY EILEEN WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
1509 16TH ST NW, WASHINGTON, DC 20036-1401
(202) 289-1510
(202) 518-8922
Mailing address
1509 16TH ST NW, WASHINGTON, DC 20036-1401
(202) 289-1510
(202) 518-8922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC301803
DC
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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