Provider Demographics
NPI:1285197376
Name:WALKER-OUTLAW, EVA JOY (MSW)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:JOY
Last Name:WALKER-OUTLAW
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 1:268 FOX BEND CIR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3278
Mailing Address - Country:US
Mailing Address - Phone:630-397-1894
Mailing Address - Fax:
Practice Address - Street 1:268 FOX BEND CIR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3278
Practice Address - Country:US
Practice Address - Phone:630-397-1894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-07
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker