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Individual

STEPHEN M WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PCSW

Contact information

Practice address
2620 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4671
(435) 755-6061
Mailing address
517 W 100 N, STE 210, PROVIDENCE, UT 84332-9826
(435) 755-6061
(435) 994-8362

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
8587228-3501
UT
1041C0700X
Clinical Social Worker
LCSW-38968
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-928
WY

Other

Enumeration date
04/24/2012
Last updated
04/12/2022
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