Provider Information for 1700409174
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WALTER LANCE CURTIS LMFT
Sex: Male
NPI: 1700409174
Last Updated: 2020-05-20
Certification Date: 2020-05-20
Certification Date: 2020-05-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700409174 | ||||||||
| Enumeration Date | 2020-05-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8200 KROLL WAY APT 227 BAKERSFIELD, CA 93311-1112 United States Phone: 818-917-7867 | Fax:661-325-4345 | ||||||||
| Primary Practice Address | 3801 BUCK OWENS BLVD STE 105 BAKERSFIELD, CA 93308-4958 United States Phone: 661-325-4357 | Fax:661-325-4345 | ||||||||
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