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1508880501
NANETTE L WALLER
MUSKOGEE, OK
NPI
1508880501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SD 1760)
Enumeration Date
2006-07-26
Last Update Date
2020-04-17
Business Address
NANETTE L WALLER LCSW, CCFC
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-683-3261
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Mailing Address
NANETTE L WALLER LCSW, CCFC
6351 W 22ND ST N
MUSKOGEE, OK 74401-1031
Phone number: 918-360-8275
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