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1174658595
KENNETH L WALTERS
JACKSONVILLE, FL
NPI
1174658595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- KENNETH L WALTERS
660 PARK ST
JACKSONVILLE, FL 32204-2933
Phone number: 904-899-6300
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Mailing Address
-- KENNETH L WALTERS
660 PARK ST
JACKSONVILLE, FL 32204-2933
Phone number:
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