MR. Henery Waller JR., MSW
NPI #1144516519 in Apple Valley, California
Provider Information
- NPI Number
- 1144516519
- Entity Type
- Individual
- Name
- MR. Henery Waller JR., MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Jun 23, 2011
- Last Updated
- Jun 23, 2011
Practice Location
- Address
- 18031 US HIGHWAY 18
- Address 2
- SUITE F
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-2152
- Phone
- (760) 242-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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