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1013020957
DONNIE M. WALLER
CHANDLER, OK
NPI
1013020957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 1775)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Mr. DONNIE M. WALLER LSW
112 MCKINLEY AVE
CHANDLER, OK 74834-1622
Phone number: 405-258-3040
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Mailing Address
Mr. DONNIE M. WALLER LSW
RR 2 BOX 220B
MEEKER, OK 74855-9305
Phone number: 405-214-9667
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