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NPI Code Detail

MEDICARE: PATRICIA B WALKER MSW, LCSW

MEDICARE:   PATRICIA B WALKER  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 WorkerFLSW0000240FL

General Provider Information

NPI Number : 1518054659
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA B WALKER MSW, LCSW
Provider Business Mailing Address
First Line : 1915 NE 45TH ST
Second Line : SUITE 206
City : FORT LAUDERDALE
State : FL
Zip : 33308-5199
Country : US
Telephone Number : 954-771-1737
Fax Number : 954-567-2177
Provider Business Practice Location Address
First Line : 1915 NE 45TH ST
Second Line : SUITE 206
City : FORT LAUDERDALE
State : FL
Zip : 33308-5199
Country : US
Telephone Number : 954-771-1737
Fax Number : 954-567-2177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/08/2007

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Directions to “ PATRICIA B WALKER MSW, LCSW” Practice Location

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