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Individual

KATHLEEN R. WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-2725
(856) 435-1271
Mailing address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(856) 361-2725
(856) 435-1271

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NO09656700
NJ

Other

Enumeration date
03/08/2007
Last updated
01/16/2020
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