Individual
LISA ANN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
(602) 650-1212
Mailing address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
(602) 650-1212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-12734
AZ
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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