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NPI Code Detail

MEDICARE: PHYLLIS E. WALKER LCSW

MEDICARE: PHYLLIS E. WALKER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS12978CA

General Provider Information

NPI Number : 1023219193
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHYLLIS E. WALKER LCSW
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6601
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 5121 STOCKDALE HWY STE 275
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2667
Country : US
Telephone Number : 661-868-5000
Fax Number : 661-868-8834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 07/08/2007

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Directions to “ PHYLLIS E. WALKER LCSW” Practice Location

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