Jacqueline Wallace
NPI #1033634977 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1033634977
- Entity Type
- Individual
- Name
- Jacqueline Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 12, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 321 BLUE HILL AVE
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02121-4302
- Phone
- (617) 541-6859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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