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Individual

DR. SHIANNA RENAE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1060 GAFFNEY RD, #7440, FORT WAINWRIGHT, AK 99703-5001
(907) 361-5418
(907) 361-4847
Mailing address
1060 GAFFNEY RD, #7440, FORT WAINWRIGHT, AK 99703-5001
(907) 361-5418
(907) 361-4847

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
019763-1
NY

Other

Enumeration date
07/02/2012
Last updated
11/02/2012
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