Individual
MR. CARY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(623) 775-5222
Mailing address
4225 BONANZA CIR, WINNEMUCCA, NV 89445-9360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8624-S
NV
Other
Enumeration date
04/29/2020
Last updated
07/21/2022
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