Individual
JENNIFER NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2503 COLUMBIA AVE, LANCASTER, PA 17603-4111
(214) 415-2152
Mailing address
2503 COLUMBIA AVE, LANCASTER, PA 17603-4111
(214) 415-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SW128482
PA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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