KELLY ANN WALLER

MASSAPEQUA, NY
NPI1972269652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  011709)
Enumeration Date2021-11-16
Last Update Date2021-11-16
Business Address
KELLY ANN WALLER LMHC
54 CHICAGO AVE
MASSAPEQUA, NY 11758-4422
Phone number: 516-804-0448
Mailing Address
KELLY ANN WALLER LMHC
304 N UTICA AVE
MASSAPEQUA, NY 11758-2148
Phone number: 516-477-3203
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