Individual
DAWN MARIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 US HIGHWAY 1, ROCKLEDGE, FL 32955-2712
(132) 195-6670
Mailing address
1290 US HIGHWAY 1, ROCKLEDGE, FL 32955-2712
(132) 195-6670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IMH18642
FL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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