Provider Information for 1689047052
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Mr. WALTERSON TORCHON LCPC
Sex: Male
NPI: 1689047052
Last Updated: 2018-10-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689047052 | ||||||||
| Enumeration Date | 2015-11-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1978 SALISBURY, MD 21802-1978 United States Phone: 410-749-1015 | Fax:410-749-0654 | ||||||||
| Primary Practice Address | 12145 ELM ST PRINCESS ANNE, MD 21853-1358 United States Phone: 410-651-2204 | Fax:410-651-0790 | ||||||||
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