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Individual

MRS. MARCI JO WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
5413 PEARCE WAY, CRESTWOOD, KY 40014-9180
(502) 807-7995
(502) 241-5922
Mailing address
5413 PEARCE WAY, CRESTWOOD, KY 40014-9180
(502) 807-7995
(502) 241-5922

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2537
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12045415
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
01
KY-2537
KENTUCKY BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE
KY
Enumeration date
09/17/2010
Last updated
09/17/2010
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