Individual
JANICE ELAINE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6513 HUGHES DR, WATAUGA, TX 76148-2615
(817) 683-4580
Mailing address
6513 HUGHES DR, WATAUGA, TX 76148-2615
(817) 683-4580
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
320800000X
TX
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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