MR. DUSTIN WALLACE, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1528667060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LCSW-21756 () |
Frequently Asked Questions
NPI 1528667060 is the National Provider Identifier for MR. DUSTIN WALLACE, LCSW, a Social Worker - Clinical provider located in Glendale, AZ. This NPI was enumerated on October 24, 2020.
MR. DUSTIN WALLACE, LCSW practices at 4619 W SAGUARO DR, Glendale, AZ 85304.
Quick Facts
- NPI
- 1528667060
- Type
- Individual
- Enumerated
- Oct 24, 2020
- Last Updated
- Aug 29, 2023
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