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1659920452
NATHANAEL WALLER
PALM SPRINGS, CA
NPI
1659920452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 113076)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
NATHANAEL WALLER MFTA
2500 N PALM CANYON DR STE A4
PALM SPRINGS, CA 92262-1866
Phone number: 442-268-7000
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Mailing Address
NATHANAEL WALLER MFTA
1775 E PALM CANYON DR STE 110
PALM SPRINGS, CA 92264-1623
Phone number: 442-268-7000
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