Individual
KELLY A WALCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 E BASELINE RD, STE E102 #2, TEMPE, AZ 85283-1299
(215) 850-5397
Mailing address
827 W MALIBU DR, TEMPE, AZ 85282-4739
(215) 850-5397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17116
AZ
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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