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1033961727
TRAYVONE WALLER
LONG BEACH, CA
NPI
1033961727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 117932)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
TRAYVONE WALLER ACSW MSW
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806-2325
Phone number: 562-599-9280
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Mailing Address
TRAYVONE WALLER ACSW MSW
11555 216TH ST APT 203
LAKEWOOD, CA 90715-2504
Phone number: 551-221-2823
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