Individual
MS. GABRIELLE LASHAY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CORRELL AVE, WHARTON, TX 77488-5104
(979) 618-1632
Mailing address
PO BOX 402, WHARTON, TX 77488-0402
(979) 618-1632
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/17/2007
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