Individual
EVELYN D WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-0223
Mailing address
1415 COLLEGE DR, MERIDIAN, MS 39307
(601) 483-4821
(601) 485-0223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0173
MS
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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