Kati Wallace

NPI #1245072073 in Cloverdale, Indiana

Provider Information

NPI Number
1245072073
Entity Type
Individual
Name
Kati Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 11, 2024
Last Updated
Oct 3, 2025

Practice Location

Address
3 W BOONE ST
State
Indiana
ZIP Code
46120-9003
Phone
(812) 605-9748

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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