Individual
MARSHELL SUNNATTA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMF
Contact information
Practice address
3125 W DURANGO ST, PHOENIX, AZ 85009-6217
(602) 372-7226
Mailing address
3125 W DURANGO ST, PHOENIX, AZ 85009-6217
(602) 372-7226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF 52514
CA
101YM0800X
Mental Health Counselor
Primary
—
AZ
1041C0700X
Clinical Social Worker
IMF 52514
CA
Other
Enumeration date
02/01/2007
Last updated
10/01/2008
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