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NPI Profile for ANQUITRA WALTON in SHREVEPORT, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1023478153 |
|
| Status | Active | |
| Credentials | LPC, NCC | |
| Entity | Individual | |
| Enumeration date | 03/02/2016 | |
| Last updated | 07/27/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ANQUITRA WALTON
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ANQUITRA WALTON, LPC, NCC