Individual
LEE RICHMOND WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
Mailing address
145 EXECUTIVE CIRCLE, CARY, NC 27511
(919) 467-5639
(919) 467-6871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
725
NC
Other
Enumeration date
11/06/2006
Last updated
04/04/2013
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