Individual
MARY L QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 E PLAZA CIR STE 13, LITCHFIELD PARK, AZ 85340-4909
(602) 818-2615
Mailing address
12730 W AVALON DR, AVONDALE, AZ 85392-6645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-13257
AZ
Other
Enumeration date
09/08/2023
Last updated
09/18/2023
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