Most Relevant Information
Provider Data
| NPI Number: | 1003526229 |
| Provider Name: | JACQUELYN WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/29/2022 |
| Last Updated: | 11/29/2022 |
Provider Practice Location
124 MALLARD ST
GREENVILLE
SC
296014046
Practice Location Phone/Fax
| Phone: | 8645490222 |
| Fax: |
Provider Mailing Location
124 MALLARD ST
GREENVILLE
SC
296014046
Provider Mailing Phone/Fax
| Phone: | 8645490222 |
| Fax: |