Individual
MALYNDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2821 N 4TH ST STE 139, MILWAUKEE, WI 53212-2362
(414) 264-4217
(414) 264-4218
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
552-226
WI
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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