Individual
JACQUESLINE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1140 3RD ST NE, WASHINGTON, DC 20002-6274
(617) 832-5872
Mailing address
1773 W ST SE, WASHINGTON, DC 20020-4213
(617) 832-5872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080880
DC
Other
Enumeration date
01/23/2017
Last updated
04/18/2019
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