Individual
FRED WAYNE WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1150 RED JOHN DR, DAYTONA BEACH, FL 32124-1016
(386) 236-1739
(386) 239-6675
Mailing address
1350 ALMOND ST, ORANGE CITY, FL 32763-3802
(386) 774-2807
(386) 239-6675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7321
FL
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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