Mr. Liam Nikolas Jaxson Waller, LCSWA
Mr. Liam Nikolas Jaxson Waller, LCSWA is a Clinical Social Worker in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.
- Licensed in
- NC
- In the registry since
- 2021
Practice location Address checks out
895 State Farm Rd Ste 507-5Boone, NC 28607-4917
Phone: (828) 338-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence P016334 (NC) |
|---|
Record details
| NPI number | 1780254136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSWA |
| Sole proprietor | No |
| NPI enumerated | June 28, 2021 |
| Last updated in NPPES | June 28, 2021 |
| Certification date | June 28, 2021 |
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