Individual
HIDEJAH RASHEEDA WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 W 7TH PL, GARY, IN 46404-1217
(219) 588-4260
Mailing address
2710 W 7TH PL, GARY, IN 46404-1217
(219) 588-4260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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