Individual
TELLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
337 DEVON RD, LA PLACE, LA 70068-5207
(504) 319-7590
Mailing address
337 DEVON RD, LA PLACE, LA 70068-5207
(504) 319-7590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10418
LA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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