Individual
NICOLA M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5555 CONNER ST, SUITE 1000 SOUTH, DETROIT, MI 48213-3448
(313) 347-2070
Mailing address
20317 FENMORE ST, DETROIT, MI 48235-2295
(313) 505-2186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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