Individual
DESTINY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 SOUTHFORK AVE STE 401, BATON ROUGE, LA 70816-5241
(225) 291-9646
Mailing address
1417 W MORRIS AVE STE E, HAMMOND, LA 70403-3854
(985) 542-9949
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
14719
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108804
—
LA
Enumeration date
04/24/2018
Last updated
02/04/2020
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