Individual
MISS HEATHER WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4460 2ND ST, BETHEL PARK, PA 15102-2956
(412) 360-6301
Mailing address
4460 2ND ST, BETHEL PARK, PA 15102-2956
(412) 360-6301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019407
PA
Other
Enumeration date
03/06/2015
Last updated
04/13/2017
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