Individual
PHENNISE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 S LINCOLN ST APT 11, CALUMET PARK, IL 60827-5632
(708) 793-2820
Mailing address
12500 S LINCOLN ST APT 11, CALUMET PARK, IL 60827-5632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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