Individual
KERRIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
516 GLENVILLE LAKE DR, FUQUAY VARINA, NC 27526-3964
(845) 901-0875
Mailing address
516 GLENVILLE LAKE DR, FUQUAY VARINA, NC 27526-3964
(845) 901-0875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P019359
NC
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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