Individual
MRS. SUZANNE U WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7345 E EVANS RD, SCOTTSDALE, AZ 85260-3192
(602) 526-2261
(855) 216-0664
Mailing address
15626 N 60TH ST, SCOTTSDALE, AZ 85254-1907
(602) 526-2771
(480) 484-5801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW 3695
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-3695
AZ
1041S0200X
School Social Worker
LCSW 3695
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591158
—
AZ
Enumeration date
01/22/2007
Last updated
03/25/2019
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