Individual
MISS GWENDOLYN KAYE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 TRAVIS ST, NORTH LAS VEGAS, NV 89030-4051
(702) 752-6043
Mailing address
2105 TRAVIS ST, NORTH LAS VEGAS, NV 89030-4051
(702) 752-6043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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