Individual
MS. BRENDA L WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 216-0100
(337) 216-0099
Mailing address
PO BOX 82573, LAFAYETTE, LA 70598-2573
(337) 216-0100
(337) 216-0099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2232
LA
Other
Enumeration date
09/15/2006
Last updated
07/23/2010
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