Individual
DONNA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3635 ORCHARD DR APT 6, HAMMOND, IN 46323-2970
(708) 600-3717
Mailing address
3635 ORCHARD DR APT 6, HAMMOND, IN 46323-2970
(708) 600-3717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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