Nona K Waller
NPI #1598000978 in Bloomington, Illinois
Provider Information
- NPI Number
- 1598000978
- Entity Type
- Individual
- Name
- Nona K Waller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 11, 2012
- Last Updated
- Aug 21, 2017
Practice Location
- Address
- 108 W MARKET ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3918
- Phone
- (309) 827-5351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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