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1740728088
SUSAN DALE WALL
FLAGSTAFF, AZ
NPI
1740728088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW - 2625)
Enumeration Date
2017-02-07
Last Update Date
2017-03-01
Business Address
Ms. SUSAN DALE WALL LCSW
77 W FOREST AVE SUITE 202
FLAGSTAFF, AZ 86001-1479
Phone number: 928-773-2249
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Mailing Address
Ms. SUSAN DALE WALL LCSW
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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