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
- City
- Amherst
- State
- Massachusetts
- ZIP Code
- 01002-2933
- Phone
- (413) 253-2893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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