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Laura Lynne Waller
Professional Counselor in Springfield, Virginia
NPI 1598344459

Laura Lynne Waller is a Professional Counselor based in Springfield, VA and is specialized in Professional. Laura Lynne Waller practices in Springfield, VA. The NPI Number for Laura Lynne Waller is 1598344459 and holds a License No. (Virginia).

The current practice location address for Laura Lynne Waller is 9403 Elk Dr, Springfield, VA and can be reached out via phone at 478-318-3273.

Location: 9403 Elk Dr, Springfield, VA, 22153-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598344459
Provider Name
Laura Lynne Waller
Credential
Provider Entity Type
Individual
Gender
Female
Address
9403 Elk Dr, Springfield, VA, 22153-1308
Phone Number
478-318-3273
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9403 Elk Dr
City
Springfield
State
Virginia
Zip
22153-1308
Phone Number
478-318-3273
Fax Number
person
Provider Business Mailing Address Details
Address
9403 Elk Dr
City
Springfield
State
Virginia
Zip
22153-1308
Phone Number
478-318-3273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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