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1528042504
FRED WAYNE WALKER
DAYTONA BEACH, FL
NPI
1528042504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW7321)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
-- FRED WAYNE WALKER LCSW
1150 RED JOHN DR
DAYTONA BEACH, FL 32124-1016
Phone number: 386-236-1739
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Mailing Address
-- FRED WAYNE WALKER LCSW
1350 ALMOND ST
ORANGE CITY, FL 32763-3802
Phone number: 386-774-2807
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