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Individual

ROSE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
624 N HUMPHREYS ST STE 1, FLAGSTAFF, AZ 86001-3070
(928) 864-5024
Mailing address
624 N HUMPHREYS ST STE 1, FLAGSTAFF, AZ 86001-3070
(928) 864-5024

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19867
AZ

Other

Enumeration date
04/27/2021
Last updated
04/27/2021
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