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1356521942
MARK RICHARD WALLER
PORTERVILLE, CA
NPI
1356521942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 36233)
Enumeration Date
2007-11-12
Last Update Date
2009-05-04
Business Address
Dr. MARK RICHARD WALLER Ph.D., MFT
851 W MORTON AVE SUITE A
PORTERVILLE, CA 93257-3185
Phone number: 888-401-6275
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Mailing Address
Dr. MARK RICHARD WALLER Ph.D., MFT
851 W MORTON AVE SUITE A
PORTERVILLE, CA 93257-3185
Phone number: 888-401-6275
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