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Individual

COREEN KIM ANDERSON WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
7300 147TH ST W STE 204, APPLE VALLEY, MN 55124-7850
(952) 997-3020
(952) 997-3026
Mailing address
7300 147TH ST W STE 204, APPLE VALLEY, MN 55124-7850
(952) 997-3020
(952) 997-3026

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305904
MN

Other

Enumeration date
02/13/2022
Last updated
02/13/2022
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