Individual
DAVENE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 MYSTIC POND LOOP, LAKELAND, FL 33811-2295
(863) 582-1321
Mailing address
4313 S FLORIDA AVE # 1054, LAKELAND, FL 33813-1654
(863) 582-1321
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/27/2026
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