Jennifer Wallace, LCSW

NPI #1003064213 in Greeley, Colorado

Provider Information

NPI Number
1003064213
Entity Type
Individual
Name
Jennifer Wallace, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 29, 2008
Last Updated
Sep 9, 2014

Practice Location

Address
1300 N 17TH AVE
ZIP Code
80631-9584
Phone
(970) 347-2120

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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