Individual
RACQUEL WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4896 SOURWOOD LN, CANAL WINCHESTER, OH 43110-7030
(614) 446-0311
Mailing address
4896 SOURWOOD LN, CANAL WINCHESTER, OH 43110-7030
(614) 446-0311
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
OH
202K00000X
Phlebology Physician
Primary
000000000
OH
Other
Enumeration date
07/13/2023
Last updated
07/22/2023
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