Individual
ENJOLIQUE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6524 MEADOW LARK DR, MONTGOMERY, AL 36116-4226
(334) 414-7703
Mailing address
6524 MEADOW LARK DR, MONTGOMERY, AL 36116-4226
(334) 414-7703
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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