MS. Qyana Anyese Wallace, A.S.W.

NPI #1235264524 in Torrance, California

Provider Information

NPI Number: 1235264524
Entity Type: Individual
Name: MS. Qyana Anyese Wallace, A.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: A.S.W.
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4025 W 226TH ST
City: Torrance
State: California
ZIP Code: 90505-2340
Phone: (310) 373-4556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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