Valencia Wallace

NPI #1073479937 in Granite City, Illinois

Provider Information

NPI Number: 1073479937
Entity Type: Individual
Name: Valencia Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 2830 E 25TH ST
City: Granite City
State: Illinois
ZIP Code: 62040-5934
Phone: (618) 419-3363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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