Individual
DR. CLARENCE WILLIAM WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
17 ASH STREET, N.E, POST OFFICE BOX 92, NEW LONDON, MN 56273
(320) 354-4489
(320) 354-4490
Mailing address
128 PINE ST., NW, C. WILLIAM WALKER, PH.D., NEW LONDON, MN 56273
(320) 354-4489
(320) 354-4490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
C1083
MN
103T00000X
Psychologist
Primary
LP0123
MN
103T00000X
Psychologist
LP0321
MN
104100000X
Social Worker
LICSW06609
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843748300
—
MN
Enumeration date
11/08/2006
Last updated
12/30/2016
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