Doctor Name: | MARLO DENISE WALKER |
NPI Number: | 1134578685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-A |
License Number: | P010507 |
Business Practice Address: | 730 Roanoke Ave Suite A1 Roanoke Rapids, NC - 278702743 |
Business Phone Number: | 7197611371 |
Business Fax Number: | |
Mailing Address: | 133 S Kirkwood Ave, ROCKY MOUNT |
State: | NC |
Postal Code: | 278016279 |
Phone Number: | 7197611371 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P010507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |