Individual
JAIMEE MARIE WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(614) 487-7805
Mailing address
4096 CLIFTON PARK CIR E APT 306, NEW ALBANY, OH 43054-1162
(330) 635-4148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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