Individual
HEATHER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
2460 CLAY BANK RD BLDG 8, FAIRFIELD, CA 94533-1655
(707) 399-4491
Mailing address
2460 CLAY BANK RD BLDG 8, FAIRFIELD, CA 94533-1655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
79831
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/04/2020
Last updated
04/25/2023
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