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1497805311
EDWARD D WALLER
COLUMBIA, SC
NPI
1497805311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC SC396)
Enumeration Date
2007-01-11
Last Update Date
2007-07-09
Business Address
Dr. EDWARD D WALLER Ph.D.
26 OFFICE PARK CT SUITE 101
COLUMBIA, SC 29223-5954
Phone number: 803-788-5511
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Mailing Address
Dr. EDWARD D WALLER Ph.D.
26 OFFICE PARK CT SUITE 101
COLUMBIA, SC 29223-5954
Phone number: 803-788-5511
Copy
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