Individual
KAREN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
574 W ENCHANTED DESERT DR, CASA GRANDE, AZ 85222-6610
(520) 836-4307
Mailing address
574 W ENCHANTED DESERT DR, CASA GRANDE, AZ 85222-6610
(520) 836-4307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074829
—
AZ
Enumeration date
03/27/2007
Last updated
07/08/2007
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