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Individual

JENNIFER WRIGHT WALKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
207 WEST MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4490
(919) 782-4445
(919) 782-4770
Mailing address
207 WEST MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4490
(919) 782-4445
(919) 782-4770

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
368
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037021
VALUE OPTIONS
NC
01
04874
BCBS
NC
01
76753
UBH
NC
Enumeration date
02/26/2007
Last updated
07/08/2007
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