Individual
ANGELA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 LA SALLE AVE, SAINT JOSEPH, MI 49085-1630
(269) 325-5389
Mailing address
543 LA SALLE AVE, SAINT JOSEPH, MI 49085-1630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105876
MI
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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