Provider Information for 1760928402
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MARY WALKER & ASSOCIATES, LLC
Organization Subpart: NO
NPI: 1760928402
Last Updated: 2017-01-18
Certification Date:
Certification Date:
Details
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NPI | 1760928402 | ||||||||||||||||
Enumeration Date | 2017-01-18 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: Ms. MARY WALKER MS, LMHC, LMFT Title: Manager Phone: 9545367735 | ||||||||||||||||
Mailing Address | 8228 NW 8TH CT PLANTATION, FL 33324-1204 United States Phone: 954-536-7735 | Fax: | ||||||||||||||||
Primary Practice Address | 2312 WILTON DR SUITE 28 WILTON MANORS, FL 33305-1249 United States Phone: 954-536-7735 | Fax: | ||||||||||||||||
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