Yvonne Scott Wallace, LCSW

NPI #1265521827 in Tucker, Georgia

Provider Information

NPI Number: 1265521827
Entity Type: Individual
Name: Yvonne Scott Wallace, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3912 CEDAR CIR
City: Tucker
State: Georgia
ZIP Code: 30084-7339
Phone: (770) 414-9742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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