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Contact Information

CLARENCE W WALKER, PhD
17 ASH STREET, N.E
POST OFFICE BOX 92
NEW LONDON, MN56273
 Phone: 320-354-4489
 Fax: 320-354-4490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CLARENCE W WALKER · (Male)

NPI Number 1053481069
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/08/2006
Last updated 12/30/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # C1083
  • MN License # LICSW06609
  • MN License # LP0123
  • MN License # LP0321
  • MN Medicaid 843748300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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