Individual
ELIZABETH WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 286-7326
Mailing address
CMR 454 BOX 2696, APO, AE 09250-0027
(910) 202-4719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079411
DC
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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