Lilly Joy Wallace, ACSW

NPI #1164201711 in Visalia, California

Provider Information

NPI Number: 1164201711
Entity Type: Individual
Name: Lilly Joy Wallace, ACSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: ACSW
Enumeration Date: Sep 25, 2023
Last Updated: Sep 10, 2024

Practice Location

Address: 520 E TULARE AVE
City: Visalia
State: California
ZIP Code: 93292-3629
Phone: (559) 786-3611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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