GARY WALLER

PURVIS, MS
NPI1609546399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MS  M9951)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
GARY WALLER LMSW
805 HIGHWAY 589
PURVIS, MS 39475-4194
Phone number: 601-794-6543
Mailing Address
GARY WALLER LMSW
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901