Individual
LIESTA R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
534 MARKET ST, ZANESVILLE, OH 43701-3651
(740) 452-1475
Mailing address
1266 HICKORY CREEK DR, ZANESVILLE, OH 43701-9710
(740) 452-1475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0600601
OH
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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