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Individual
SHANNON NICOLE WALKER
Active
Individual
SHANNON NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
34282
CA
106H00000X
Marriage & Family Therapist
99183
CA
106H00000X
Marriage & Family Therapist
MFTI #75982
CA
Other
Enumeration date
07/23/2013
Last updated
09/22/2023
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