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1124109210
SUSAN J WALLER
RICHMOND, VA
NPI
1124109210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101238514)
Enumeration Date
2006-10-17
Last Update Date
2009-09-17
Business Address
Dr. SUSAN J WALLER M.D.
1250 E MARSHALL STREET PSYCHIATRY
RICHMOND, VA 23298-0510
Phone number: 804-828-2000
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Mailing Address
Dr. SUSAN J WALLER M.D.
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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