Gary Waller, LMSW
NPI #1609546399 in Purvis, Mississippi
Provider Information
- NPI Number
- 1609546399
- Entity Type
- Individual
- Name
- Gary Waller, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Sep 15, 2021
Practice Location
- Address
- 805 HIGHWAY 589
- City
- Purvis
- State
- Mississippi
- ZIP Code
- 39475-4194
- Phone
- (601) 794-6543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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