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Individual

KANDYCE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
202 WALTON WAY STE 192 #457, CEDAR PARK, TX 78613-7046
(512) 630-0425
Mailing address
306 HARBOR DR, GEORGETOWN, TX 78633-9329
(512) 630-0425

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1010157
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801415450
TRAUMA RECOVERY INSTITUTE
TX
Enumeration date
10/16/2020
Last updated
05/20/2025
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