Jamie Lyn Wallace

NPI #1639527567 in Cass City, Michigan

Provider Information

NPI Number: 1639527567
Entity Type: Individual
Name: Jamie Lyn Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 1, 2016
Last Updated: May 26, 2022

Practice Location

Address: 6823 MAIN ST
City: Cass City
State: Michigan
ZIP Code: 48726-9693
Phone: (989) 325-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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