Nancy K Wallace, LSW

NPI #1124388046 in Lima, Ohio

Provider Information

NPI Number: 1124388046
Entity Type: Individual
Name: Nancy K Wallace, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 799 S MAIN ST
City: Lima
State: Ohio
ZIP Code: 45804-1519
Phone: (419) 229-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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