LIAM NIKOLAS JAXSON WALLER

BOONE, NC
NPI1780254136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P016334)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
Mr. LIAM NIKOLAS JAXSON WALLER LCSWA
895 STATE FARM RD STE 507-5
BOONE, NC 28607-4917
Phone number: 828-338-3136
Mailing Address
Mr. LIAM NIKOLAS JAXSON WALLER LCSWA
156 CHASE COLE LN
ZIONVILLE, NC 28698-6002
Phone number: 336-981-6723
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