Individual
VONZELLE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N 9TH ST FL 13, RICHMOND, VA 23219-1933
(804) 780-7850
Mailing address
3511 DELAWARE AVE, RICHMOND, VA 23222-2914
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
VA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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