Tara Waller
Tara Waller is a Clinical Social Worker in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
1454 Mexico Way NERoanoke, VA 24012-6476
Phone: (434) 533-1088
Fax: (434) 664-1177
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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 0904016744 (VA) |
|---|
Record details
| NPI number | 1467208918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 724 Shelbourne Ave, Vinton, VA 24179-3720 |
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