Individual
TEENA C WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
7580 184TH ST, FRESH MEADOWS, NY 11366-1715
(718) 844-5390
Mailing address
PO BOX 30717, ELMONT, NY 11003-0717
(516) 636-9680
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P109896
NY
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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