Melissa A Wallace, EDM
NPI #1700069424 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1700069424
- Entity Type
- Individual
- Name
- Melissa A Wallace, EDM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- EDM
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 105 VICTORY RD
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02122-3518
- Phone
- (617) 619-6921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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