Casandra Wallace, M.S.
NPI #1518490465 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1518490465
- Entity Type
- Individual
- Name
- Casandra Wallace, M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - School
- Credential
- M.S.
- Enumeration Date
- Apr 7, 2017
- Last Updated
- Apr 7, 2017
Practice Location
- Address
- 6811 FAIRFIELD AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-3803
- Phone
- (318) 670-3975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - School — School |
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