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Erin Waller

Case Manager/Care Coordinator in Lexington, KY. Individual provider (NPI-1).

NPI number1083178552
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1083178552
Entity type
Individual (NPI-1)
Name
Erin Waller
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2019
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1351 Newtown Pike
Lexington, KY 40511-1275

Phone 859-253-1686

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1275

Phone 859-253-1686

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