Individual
JESSICA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6401014806
MI
Other
Enumeration date
04/14/2016
Last updated
02/10/2020
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