Individual
MICHELE JACQUELINE WALKLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
510 MCCORMICK DR STE U-W, GLEN BURNIE, MD 21061-3283
(410) 595-5870
Mailing address
510 MCCORMICK DR STE U-W, GLEN BURNIE, MD 21061-3283
(410) 595-5870
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
03849
MD
Other
Enumeration date
08/26/2008
Last updated
03/27/2018
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