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1497314918
KELLY A WALCH
TEMPE, AZ
NPI
1497314918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-17116)
Enumeration Date
2019-06-08
Last Update Date
2019-06-08
Business Address
KELLY A WALCH LCSW
209 E BASELINE RD STE E102 #2
TEMPE, AZ 85283-1299
Phone number: 215-850-5397
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Mailing Address
KELLY A WALCH LCSW
827 W MALIBU DR
TEMPE, AZ 85282-4739
Phone number: 215-850-5397
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