DUSTIN WADE WALLACE

GLENDALE, AZ
NPI1528667060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   LCSW-21756)
Enumeration Date2020-10-24
Last Update Date2023-08-29
Business Address
Mr. DUSTIN WADE WALLACE LCSW
4619 W SAGUARO DR
GLENDALE, AZ 85304-4424
Phone number: 602-999-3355
Mailing Address
Mr. DUSTIN WADE WALLACE LCSW
4619 W SAGUARO DR
GLENDALE, AZ 85304-4424
Phone number: 602-999-3355
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