Search › Arizona › 1041C0700X
Dustin Wallace, LCSW
NPI 1528667060 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4619 W Saguaro Dr
Glendale, AZ 85304 - Phone
- (602) 999-3355
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Sex
- Male
- Record last updated
- 2023-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona