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1235979485
LOGAN WALLACE
SCOTTSDALE, AZ
NPI
1235979485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-21536)
Enumeration Date
2024-05-27
Last Update Date
2024-10-20
Business Address
LOGAN WALLACE LCSW
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000
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Mailing Address
LOGAN WALLACE LCSW
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number:
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