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1932930450
DEVONICE Q WALLER
BLOOMFIELD, CT
NPI
1932930450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
DEVONICE Q WALLER
693 BLOOMFIELD AVE
BLOOMFIELD, CT 06002-2489
Phone number: 860-731-5522
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Mailing Address
DEVONICE Q WALLER
2 WATERSIDE XING STE 401
WINDSOR, CT 06095-1588
Phone number: 860-697-3351
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