Individual
CHANELE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 MACDOUGAL ST APT B5, BROOKLYN, NY 11233-2729
(347) 742-1532
Mailing address
214 MACDOUGAL ST APT B5, BROOKLYN, NY 11233-2729
(347) 742-1532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108460-01
NY
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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