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Individual

MS. TANYA MARIE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LLP

Contact information

Practice address
23545 BRANDYWYNNE ST, SOUTHFIELD, MI 48033-2952
(313) 848-7140
Mailing address
23545 BRANDYWYNNE ST, SOUTHFIELD, MI 48033-2952
(313) 848-7140

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017462
MI
103T00000X
Psychologist
Primary
6361007703
MI
103T00000X
Psychologist
MI

Other

Enumeration date
06/29/2018
Last updated
09/02/2022
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