Individual
REVA C WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 756-1500
Mailing address
856 E PERSHING RD, APT 101, CHICAGO, IL 60653-2072
(773) 425-5826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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