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Organization
WALTON SERVICES LLC
Active
Organization
WALTON SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANQUITRA WALTON LPC (OWNER)
(318) 301-6617
Entity
Organization
Contact information
Practice address
3825 GILBERT DR STE 106, SHREVEPORT, LA 71104-5000
(318) 301-3317
Mailing address
PO BOX 3757, SHREVEPORT, LA 71133-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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