Individual
MR. WALTER JACKSON SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
804 S GARNETT ST, HENDERSON, NC 27536
(252) 430-7442
Mailing address
10 SEDGEWOOD RD, CHAPEL HILL, NC 27514
(919) 942-8445
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
401
NC
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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