Provider Demographics
NPI:1750789327
Name:WALKER, CINDY
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 55
Mailing Address - Street 2:
Mailing Address - City:LOCO
Mailing Address - State:OK
Mailing Address - Zip Code:73442-9404
Mailing Address - Country:US
Mailing Address - Phone:580-467-8544
Mailing Address - Fax:
Practice Address - Street 1:23 N 8TH ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4601
Practice Address - Country:US
Practice Address - Phone:580-467-8544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker