MRS. Jacqueline D Wallace, MSW

NPI #1497743504 in Amherst, Massachusetts

Provider Information

NPI Number
1497743504
Entity Type
Individual
Name
MRS. Jacqueline D Wallace, MSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Oct 12, 2005
Last Updated
Jul 23, 2013

Practice Location

Address
447 WEST ST
Address 2
SUITE #3
ZIP Code
01002-2933
Phone
(413) 253-2893

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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