Individual
MS. CARTRICIA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3141 ARLENE ST, PORTAGE, IN 46368-3939
(219) 902-1156
Mailing address
3141 ARLENE ST, PORTAGE, IN 46368-3939
(219) 902-1156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.102602
IL
104100000X
Social Worker
Primary
33008293A
IN
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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