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Individual

DEBORAH L WALKER

Active
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Individual

DEBORAH L WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D. LP

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01937
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11653032
CAQH
01
204656
BLUE CROSS BLUE SHIELD
MO
01
221398
MANAGED HEALTH NETWORK
MO
05
494695729
MO
Enumeration date
11/10/2005
Last updated
02/20/2023
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