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1104200401
EVELYN WALLER
PHILADELPHIA, PA
NPI
1104200401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
-- EVELYN WALLER
123 E MAYLAND ST
PHILADELPHIA, PA 19144-2020
Phone number: 267-584-2474
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Mailing Address
-- EVELYN WALLER
123 E MAYLAND ST
PHILADELPHIA, PA 19144-2020
Phone number: 267-584-2474
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