MRS. Terry Stewart Wallace
NPI #1639217912 in Big Stone Gap, Virginia
Provider Information
- NPI Number
- 1639217912
- Entity Type
- Individual
- Name
- MRS. Terry Stewart Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3169 2ND AVE EAST
- City
- Big Stone Gap
- State
- Virginia
- ZIP Code
- 24219
- Phone
- (276) 523-8360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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