Individual
SHAWNA WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
220 N BALLSTON AVE, SCOTIA, NY 12302
(518) 374-3514
Mailing address
220 N BALLSTON AVE, SCOTIA, NY 12302-2533
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
03/23/2022
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