Provider Information for 1134650740
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STEPHANIE S WALKER LPC
Sex: Female
NPI: 1134650740
Last Updated: 2024-04-17
Certification Date: 2024-04-17
Certification Date: 2024-04-17
Details
Name | Value | ||||||||||||
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NPI | 1134650740 | ||||||||||||
Enumeration Date | 2017-03-24 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 539 W COMMERCE ST # 2436 DALLAS, TX 75208-1953 United States Phone: 903-287-0872 | Fax: | ||||||||||||
Primary Practice Address | 165 FORESTBROOK DR APT 1008 LEWISVILLE, TX 75067-3883 United States Phone: 903-287-0872 | Fax: | ||||||||||||
Secondary Practice Address(es) | 5910 N CENTRAL EXPY STE 790 | ||||||||||||
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