Individual
CEDRIC ELLIS WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 MORRIS ST APT 1, ALBANY, NY 12208-2612
(917) 736-2222
Mailing address
542 MORRIS ST APT 1, ALBANY, NY 12208-2612
(917) 736-2222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108086-01
NY
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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