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NPI Code Detail

MEDICARE: JOYCE WALKER LCSW

MEDICARE: JOYCE 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 Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235170382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE WALKER LCSW
Provider Business Mailing Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-534-5798
Provider Business Practice Location Address
First Line : 2500 RIKE DR
Second Line :
City : PINE BLUFF
State : AR
Zip : 71603-3937
Country : US
Telephone Number : 870-534-1834
Fax Number : 870-534-5798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/23/2011

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Practice Location Address:
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71603-3937
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1861411167 — STEPHEN A BROUGHTON MD
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71603-3937
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1356449268 — MS. SHERRY RAE RABER RN
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2500 RIKE DR
PINE BLUFF, AR
71603-3937
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1598864480 — MRS. PEGGY ANN THOMPSON RN
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2500 RIKE DR
PINE BLUFF, AR
71603-3937
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1336248012 — MRS. LATASHA SHERRAY HALL RN
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2500 RIKE DR
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Directions to “ JOYCE WALKER LCSW” Practice Location

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