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Individual

MRS. DONNA P WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1081 E SNOWCREEK DR, LAYTON, UT 84040-3427
(801) 809-7476
Mailing address
1081 E SNOWCREEK DR, LAYTON, UT 84040-3427
(801) 809-7476

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5735208-3501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260022408
RAILROAD MEDICARE
UT
05
876000308007
UT
Enumeration date
04/24/2007
Last updated
10/04/2010
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