Andrew Nathan Wallace, LCSW

NPI #1295433167 in Canton, Georgia

Provider Information

NPI Number
1295433167
Entity Type
Individual
Name
Andrew Nathan Wallace, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 21, 2023
Last Updated
Apr 25, 2023

Practice Location

Address
191 LAMAR HALEY PKWY
City
Canton
State
Georgia
ZIP Code
30114-8019
Phone
(770) 704-1600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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