Individual
JULIANNA ROSE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
146 W MAIN ST, SAINT CLAIRSVILLE, OH 43950-1225
(304) 905-5501
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 968-7006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.2308693
OH
Other
Enumeration date
09/13/2021
Last updated
01/19/2023
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