Individual
JACOB WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(978) 744-7905
Mailing address
7 CHERRY ST APT 1, DANVERS, MA 01923-2861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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