MR. Reginal Arnett Wallace, LCSW
NPI #1205400066 in Winter Haven, Florida
Provider Information
- NPI Number
- 1205400066
- Entity Type
- Individual
- Name
- MR. Reginal Arnett Wallace, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 17, 2021
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 1201 1ST ST S
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-3904
- Phone
- (863) 293-1121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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