Carrie Anne Wallace

NPI #1013577329 in Roosevelt, Utah

Provider Information

NPI Number: 1013577329
Entity Type: Individual
Name: Carrie Anne Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 18, 2019
Last Updated: Jun 18, 2019

Practice Location

Address: 285 W 800 S
City: Roosevelt
State: Utah
ZIP Code: 84066-3707
Phone: (435) 725-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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