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Organization
GROUND WORK
Active
Organization
GROUND WORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WALL LCSW (VICE CHAIR)
(480) 466-0351
Entity
Organization
Contact information
Practice address
1600 W CHANDLER BLVD STE 260, CHANDLER, AZ 85224-6179
(480) 466-0351
Mailing address
1600 W CHANDLER BLVD STE 260, CHANDLER, AZ 85224-6179
(480) 466-0351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/24/2022
Last updated
09/18/2024
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