Barbara J Wallace, LICSW

NPI #1255736955 in Omak, Washington

Provider Information

NPI Number
1255736955
Entity Type
Individual
Name
Barbara J Wallace, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 24, 2014
Last Updated
Oct 24, 2014

Practice Location

Address
1007 KOALA DR.
City
Omak
ZIP Code
98841
Phone
(509) 826-6191

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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