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Individual

SHEVON WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4535 FLAT SHOALS PKWY, DECATUR, GA 30034-5039
(404) 244-9477
Mailing address
3792 HERITAGE PL, BUFORD, GA 30519-7861

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008700
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N0615768604-8
HPSO
GA
Enumeration date
01/05/2015
Last updated
01/05/2015
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