Individual
CHASTITY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 ELLWOOD ST, MOUNT CLEMENS, MI 48043-1413
(586) 354-0662
Mailing address
26 ELLWOOD, MT. CLEMENS, MI 48043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094488
MI
Other
Enumeration date
10/10/2012
Last updated
10/12/2012
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