TARA WALLER

ROANOKE, VA
NPI1467208918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904016744)
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
TARA WALLER
1454 MEXICO WAY NE
ROANOKE, VA 24012-6476
Phone number: 434-533-1088
Mailing Address
TARA WALLER
724 SHELBOURNE AVE
VINTON, VA 24179-3720
Phone number: 304-747-8587
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