Nanette L Waller, LCSW, CCFC

NPI #1508880501 in Muskogee, Oklahoma

Provider Information

NPI Number: 1508880501
Entity Type: Individual
Name: Nanette L Waller, LCSW, CCFC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW, CCFC
Enumeration Date: Jul 26, 2006
Last Updated: Apr 17, 2020

Practice Location

Address: 1011 HONOR HEIGHTS DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-1318
Phone: (918) 683-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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