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1750816930
KATIE WALLER
HUNTSVILLE, TX
NPI
1750816930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12081)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
-- KATIE WALLER LCDC
1523 NORMAL PARK DR SUITE C
HUNTSVILLE, TX 77340-4297
Phone number: 855-862-3278
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Mailing Address
-- KATIE WALLER LCDC
PO BOX 474
ANGLETON, TX 77516-0474
Phone number:
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