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Individual

MICHAEL SCOTT WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7939
(860) 761-7928
Mailing address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7939
(860) 761-7928

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WAL2KER5
CT
Enumeration date
06/14/2016
Last updated
06/14/2016
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