Individual
MISS MARIQUITA LOUISE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 S 23RD ST, LOUISVILLE, KY 40211-1068
(502) 472-6992
Mailing address
645 S 23RD ST, LOUISVILLE, KY 40211-1068
(502) 472-6992
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
KY
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
03/17/2025
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