Individual
MARIA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-4805
(239) 667-3410
Mailing address
613 DESOTO AVE, LEHIGH ACRES, FL 33972-7934
(239) 667-3410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
04/11/2014
Last updated
01/25/2023
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