Individual
MS. JUDITH DIANE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1151 TAYLOR ST, ROOM 332-C, DETROIT, MI 48202-1732
(313) 876-0360
Mailing address
1151 TAYLOR ST, BLDG 6,, DETROIT, MI 48202-1732
(313) 970-3027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802061047
MI
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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