Individual
MS. ANITRA PETEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3675 CRESTWOOD PKWY NW, DULUTH, GA 30096-1805
(678) 471-0228
Mailing address
4334 MOONGLOW TRL, LILBURN, GA 30047-4190
(678) 471-0228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3381
GA
1041C0700X
Clinical Social Worker
Primary
CSW003899
GA
Other
Enumeration date
12/20/2006
Last updated
11/07/2023
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