Individual
JUSTIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
324 S PINE ST, NAMPA, ID 83686-2724
(208) 724-6737
Mailing address
324 S PINE ST, NAMPA, ID 83686-2724
(208) 724-6737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35317
ID
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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