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Individual

WALANDA WALKER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
18789 N REEMS RD, STE. 260, SURPRISE, AZ 85374-8648
(623) 544-3223
(623) 544-3694
Mailing address
18789 N REEMS RD, STE. 260, SURPRISE, AZ 85374-8648
(623) 544-3223
(623) 544-3694

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3289
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
3289
AZ

Other

Enumeration date
03/31/2006
Last updated
03/16/2017
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