Individual
MR. JOHN M WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 211W, CHARLESTON, SC 29414-5739
(843) 958-2555
(843) 402-1961
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10353
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCE8389223
MEDICARE
SC
05
—
SW1586
—
SC
Enumeration date
10/24/2006
Last updated
02/21/2022
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