Individual
JEFFREY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 BAIRD ST, HOLLY, MI 48442-1705
(319) 457-0633
Mailing address
806 BAIRD ST, HOLLY, MI 48442-1705
(319) 457-0633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000448
MI
Other
Enumeration date
06/06/2016
Last updated
06/29/2020
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