Provider Information for 1417629965
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BRANDY AIESHA WALKER LCSW, LMSW
Sex: Female
NPI: 1417629965
Last Updated: 2022-10-03
Certification Date: 2022-10-03
Certification Date: 2022-10-03
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417629965 | ||||||||||||
| Enumeration Date | 2021-10-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2855 TELEGRAPH AVE STE 515 BERKELEY, CA 94705-1151 United States Phone: 510-478-4029 | Fax: | ||||||||||||
| Primary Practice Address | 2855 TELEGRAPH AVE STE 515 BERKELEY, CA 94705-1151 United States Phone: 510-478-4029 | Fax: | ||||||||||||
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