GLENN R WALLER

MCCOMB, MS
NPI1689607814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MS  0695)
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
Mr. GLENN R WALLER LPC
1701 WHITE ST
MCCOMB, MS 39648-2711
Phone number: 601-684-2173
Mailing Address
Mr. GLENN R WALLER LPC
3 COUNTY ROAD 2091
OXFORD, MS 38655-8882
Phone number: