MS. Marissa Steen Wallace, LSW

NPI #1043857527 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1043857527
Entity Type: Individual
Name: MS. Marissa Steen Wallace, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 4251 KIPLING ST UNIT 560
City: Wheat Ridge
State: Colorado
ZIP Code: 80033-6800
Phone: (720) 490-7911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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