Individual
MS. CANDRA DIONNE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4225 OFFICE PARKWAY, DALLAS, TX 75204
(214) 821-6505
Mailing address
2775 NORTH HIGHWAY 360 APT#234, GRAND PRAIRIE, TX 75050
(318) 771-3161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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