Most Relevant Information
Provider Data
| NPI Number: | 1003522475 |
| Provider Name: | JONIKA WALTON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 16187 |
Most Important Dates
| Enumeration Date: | 01/27/2023 |
| Last Updated: | 05/03/2023 |
Provider Practice Location
3018 OLD MINDEN RD STE 1117
BOSSIER CITY
LA
711122497
Practice Location Phone/Fax
| Phone: | 3187461935 |
| Fax: |
Provider Mailing Location
3018 OLD MINDEN RD STE 1117
BOSSIER CITY
LA
711122497
Provider Mailing Phone/Fax
| Phone: | 3187461935 |
| Fax: |