MEDICARE: CHRISTELL WALKER

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	LCSW 11538	AZ

General Provider Information

NPI Number	:	1578798575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTELL WALKER

Provider Business Mailing Address
First Line	:	3044 W BARTLETT PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3618
Country	:	US
Telephone Number	:	520-408-5469
Fax Number	:

Provider Business Practice Location Address
First Line	:	3044 W BARTLETT PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3618
Country	:	US
Telephone Number	:	520-408-5469
Fax Number	:

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

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

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Directions to “ CHRISTELL WALKER ” Practice Location

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