Provider Demographics
NPI:1700104122
Name:WALKER, KENDRA MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 W LEMON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2810
Mailing Address - Country:US
Mailing Address - Phone:909-816-6012
Mailing Address - Fax:
Practice Address - Street 1:138 W LEMON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2810
Practice Address - Country:US
Practice Address - Phone:909-816-6012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical