Individual
AUDREY KAYE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3351 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 942-2522
Mailing address
3351 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 942-2522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32949
MI
Other
Enumeration date
08/17/2018
Last updated
12/26/2018
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