John Dickson Walden
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1104698646
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1104698646
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Dickson Walden
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2923 N Milwaukee AveChicago, IL 60618-7886
Phone 800-206-8136
Mailing address
1940 W Eddy St Apt 3Chicago, IL 60657-1009
Phone 612-360-1202
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