Individual
DR. STACEY NICOLE ALVIA BRODIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S PINE ISLAND RD STE 300, PLANTATION, FL 33324-2665
(754) 801-9750
Mailing address
9916 NOB HILL LN, SUNRISE, FL 33351-4665
(754) 801-9750
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY8168
FL
Other
Enumeration date
12/19/2018
Last updated
06/11/2019
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