Individual
ANNA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-4000
Mailing address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205031499
—
NY
Enumeration date
04/26/2021
Last updated
04/26/2021
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