Individual
LORETTA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 OWENS ST, MARKS, MS 38646-2104
(662) 441-2056
Mailing address
104 OWENS ST, MARKS, MS 38646-2104
(662) 441-2056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11123
MS
Other
Enumeration date
12/09/2014
Last updated
04/02/2025
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