Individual
VANESSA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW001491
GA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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