Individual
SHEVONNE NATASHA MACK-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30 HAZEL TER STE A, WOODBRIDGE, CT 06525-2240
(203) 804-3422
Mailing address
30 HAZEL TER STE A, WOODBRIDGE, CT 06525-2240
(203) 804-3422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6307
CT
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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