Individual
DEANNA WALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 428-4257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1356843676
WY
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X.
—
WY
Enumeration date
03/02/2018
Last updated
04/08/2024
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