Individual
MEREDITH STREET-WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012-2806
(602) 230-7373
(602) 257-8029
Mailing address
3101 N CENTRAL AVE STE 500, PHOENIX, AZ 85012-2639
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-21762
AZ
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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