LOGAN WALLACE

SCOTTSDALE, AZ
NPI1235979485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-21536)
Enumeration Date2024-05-27
Last Update Date2024-10-20
Business Address
LOGAN WALLACE LCSW
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000
Mailing Address
LOGAN WALLACE LCSW
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: