MR. Walter Moore Wallace, L.C.S.W.
NPI #1124203062 in Oxford, Mississippi
Provider Information
- NPI Number
- 1124203062
- Entity Type
- Individual
- Name
- MR. Walter Moore Wallace, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Jan 9, 2008
- Last Updated
- Jan 9, 2008
Practice Location
- Address
- 152 HIGHWAY 7 S
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5392
- Phone
- (662) 234-7521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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