Individual
MRS. MARY JEANNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-A
Contact information
Practice address
500 CONGRESS ST, 2J, QUINCY, MA 02169-0908
(617) 479-7503
Mailing address
PO BOX 406153, ATLANTA, GA 30384-6153
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
416
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102391
—
MA
Enumeration date
06/29/2006
Last updated
01/15/2009
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