Alisa D Wallace
NPI #1669936621 in Monticello, Kentucky
Provider Information
- NPI Number
- 1669936621
- Entity Type
- Individual
- Name
- Alisa D Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 24, 2019
- Last Updated
- Jan 24, 2019
Practice Location
- Address
- 803 COLUMBIA AVE
- City
- Monticello
- State
- Kentucky
- ZIP Code
- 42633
- Phone
- (606) 348-9318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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