Jennifer Lee Wallace, MSW, LSW
NPI #1679983449 in Fleetwood, Pennsylvania
Provider Information
- NPI Number
- 1679983449
- Entity Type
- Individual
- Name
- Jennifer Lee Wallace, MSW, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW, LSW
- Enumeration Date
- May 2, 2014
- Last Updated
- May 2, 2014
Practice Location
- Address
- 1 W MAIN ST
- City
- Fleetwood
- State
- Pennsylvania
- ZIP Code
- 19522-1323
- Phone
- (610) 944-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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