Christian Wallace

NPI #1225893191 in Waxahachie, Texas

Provider Information

NPI Number
1225893191
Entity Type
Individual
Name
Christian Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Enumeration Date
Feb 19, 2024
Last Updated
Feb 19, 2024

Practice Location

Address
1505 W JEFFERSON ST STE 120
State
Texas
ZIP Code
75165-2200
Phone
(214) 351-3490

Specialties & Taxonomy Codes

Specialty
Social Worker

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