Walker, Fred Wayne

Walker, Fred Wayne is an individual health care provider with primary practice located at 1150 Red John Dr , Daytona Beach FL 32124-1016. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walker, Fred Wayne can be contacted via phone (386) 236-1739.

Contact Information

Primary practice address
1150 Red John Dr Daytona Beach FL 32124-1016
Phone: (386) 236-1739
Fax: (386) 239-6675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7321 Florida

Profile Details

NPI number 1528042504
LBN Legal business name Walker, Fred Wayne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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