Individual
BRIALLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 BECKER ST, HAMMOND, IN 46320-2110
(773) 615-5023
Mailing address
941 BECKER ST, HAMMOND, IN 46320-2110
(773) 615-5023
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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