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1548835390
LOISE KING WALLER
AUSTIN, TX
NPI
1548835390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 38226)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
Dr. LOISE KING WALLER PhD
1306 W LYNN ST RM 8
AUSTIN, TX 78703-3956
Phone number: 512-469-9447
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Mailing Address
Dr. LOISE KING WALLER PhD
4330 BULL CREEK RD APT 2416
AUSTIN, TX 78731-5954
Phone number: 512-797-4544
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