Search › Arizona › 1041C0700X
Jan Wallace, LCSW
NPI 1972936425 · on the registry since 2013
Practice
- Address
- 140 N Tucson Blvd
Tucson, AZ 85716 - Phone
- (520) 396-1021
- Fax
- (520) 881-1648
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-19
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