Lashanda Wallace

NPI #1043814775 in Manchester, Connecticut

Provider Information

NPI Number: 1043814775
Entity Type: Individual
Name: Lashanda Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 23, 2020
Last Updated: Apr 4, 2022

Practice Location

Address: 444 CENTER ST
City: Manchester
State: Connecticut
ZIP Code: 06040-3926
Phone: (860) 646-3888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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