Individual
MS. SALLEY A WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
10547 E SEVEN GENERATIONS WAY # 201-11, TUCSON, AZ 85747
(520) 282-1794
(520) 296-7579
Mailing address
PO BOX 17952, TUCSON, AZ 85731-7952
(520) 282-1794
(520) 296-7579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 2434
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597388
AHCCCS PROVIDER #
AZ
Enumeration date
12/04/2006
Last updated
06/11/2018
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