Individual
CHRISTINE MARIE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
395 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1735
Mailing address
395 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801067937
STATE LICENSE
MI
Enumeration date
06/20/2011
Last updated
06/20/2011
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