Individual
HEATHER WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11011 S 48TH ST STE 200, PHOENIX, AZ 85044-1788
(480) 818-6518
Mailing address
PO BOX 66, HIGLEY, AZ 85236-0066
(480) 818-6518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17248
AZ
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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