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Organization

WALRUS SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOW G. (GUY) WALDEN JR. D MIN, M ED (OWNER/C.O.O.)
(321) 689-2072
Entity
Organization

Contact information

Practice address
390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL 32550-7020
(850) 650-0053
(850) 650-0075
Mailing address
390 S GERONIMO ST, SUITE #104, MIRAMAR BEACH, FL 32550-7020
(850) 650-0053
(850) 650-0075

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
691154496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
691154496
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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