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NPI Code Detail

MEDICARE: LOUISA SLOAN WALTER MSW, LCSW

MEDICARE:   LOUISA SLOAN WALTER  MSW, 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 WorkerC010500NC

General Provider Information

NPI Number : 1386460871
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISA SLOAN WALTER MSW, LCSW
Provider Business Mailing Address
First Line : 3600 N DUKE ST STE 1
Second Line : #1209
City : DURHAM
State : NC
Zip : 27704-1769
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N DUKE ST STE 1
Second Line : #1209
City : DURHAM
State : NC
Zip : 27704-1769
Country : US
Telephone Number : 919-600-7560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2024
Last Update Date : 11/29/2024

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Directions to “ LOUISA SLOAN WALTER MSW, LCSW” Practice Location

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