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NPI Code Detail

MEDICARE: CORI L WALKER LCSW

MEDICARE:   CORI L 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 WorkerC8438MS

General Provider Information

NPI Number : 1851808893
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORI L WALKER LCSW
Provider Business Mailing Address
First Line : 3427 WASHINGTON AVE
Second Line :
City : GULFPORT
State : MS
Zip : 39507-3039
Country : US
Telephone Number : 888-464-1811
Fax Number : 800-416-3070
Provider Business Practice Location Address
First Line : 3427 WASHINGTON AVE
Second Line :
City : GULFPORT
State : MS
Zip : 39507-3039
Country : US
Telephone Number : 888-464-1811
Fax Number : 800-416-3070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2017
Last Update Date : 12/18/2020

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Directions to “ CORI L WALKER LCSW” Practice Location

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