| Doctor Name: | MISS HOLLY WALTERS |
| NPI Number: | 1386816924 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | P004444 |
| Business Practice Address: | 300 Veazey Road Butner, NC - 275091626 |
| Business Phone Number: | 9197642000 |
| Business Fax Number: | 9197642181 |
| Mailing Address: | 224 Stone Lion Drive, DURHAM |
| State: | NC |
| Postal Code: | 277036109 |
| Phone Number: | 8142333773 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P004444 |
| 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 |