Diana Wallace, LCSW
NPI #1336145432 in Newport, Kentucky
Provider Information
- NPI Number
- 1336145432
- Entity Type
- Individual
- Name
- Diana Wallace, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 23, 2005
- Last Updated
- Jun 12, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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