MRS. Stacy Garrett Wallace, LCSW

NPI #1225754120 in Tyrone, Georgia

Provider Information

NPI Number
1225754120
Entity Type
Individual
Name
MRS. Stacy Garrett Wallace, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 13, 2022
Last Updated
Oct 13, 2022

Practice Location

Address
105 SAINT STEPHENS CT
City
Tyrone
State
Georgia
ZIP Code
30290-1716
Phone
(770) 378-9913

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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