Individual
PAULETTE L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CAAC, LICSW
Contact information
Practice address
1121 WESTRAC DR S STE 202, FARGO, ND 58103-2385
(701) 306-0542
(701) 306-0542
Mailing address
2213 15TH ST S, FARGO, ND 58103-5231
(701) 639-2421
(701) 639-2421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
201903
MI
1041C0700X
Clinical Social Worker
Primary
4662
ND
1041C0700X
Clinical Social Worker
6801089731
MI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/13/2009
Last updated
10/23/2020
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