MEDICARE: MRS. NORA MARIE 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
1	1041C0700X	Clinical Social Worker	713	CO

General Provider Information

NPI Number	:	1548328859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORA MARIE WALKER LCSW

Provider Business Mailing Address
First Line	:	1631 N ROYER ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-7635
Country	:	US
Telephone Number	:	719-473-7646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 N ROYER ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-7635
Country	:	US
Telephone Number	:	719-473-7646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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