Individual
MISS TAKESHA LYNN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, CCS, CADC
Contact information
Practice address
882 OAKMAN BLVD STE D, DETROIT, MI 48238-4019
(313) 961-7990
Mailing address
15754 ASHTON RD, DETROIT, MI 48223-1304
(313) 836-5930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1911737
MI
Other
Enumeration date
05/20/2008
Last updated
06/09/2023
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