STACEY WALLER

CHARLESTON, WV
NPI1114990900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WV  891)
Enumeration Date2006-02-10
Last Update Date2008-06-04
Business Address
-- STACEY WALLER Ph.D.
1097 FLEDDERJOHN RD STE 3
CHARLESTON, WV 25314-4208
Phone number: 304-345-0880
Mailing Address
-- STACEY WALLER Ph.D.
1097 FLEDDERJOHN RD STE 3
CHARLESTON, WV 25314-4208
Phone number: 304-345-0880
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