Heather Wall, LCSW
Social Worker, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1689299232
StatusActive
Last updated in NPPESJun 9, 2020
Details
- NPI
- 1689299232
- Entity type
- Individual (NPI-1)
- Name
- Heather Wall
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2020
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-17248 | AZ | Yes |
Practice location
11011 S 48th St Ste 200Phoenix, AZ 85044-1788
Phone 480-818-6518
Mailing address
Po Box 66Higley, AZ 85236-0066
Phone 480-818-6518
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