MRS. Brooke Mary Wallace, LCSW, BCD
NPI #1730228057 in Lackland a F B, Texas
Provider Information
- NPI Number
- 1730228057
- Entity Type
- Individual
- Name
- MRS. Brooke Mary Wallace, LCSW, BCD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, BCD
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Apr 17, 2018
Practice Location
- Address
- 2200 BERGQUIST DR
- Address 2
- SUITE 1
- City
- Lackland a F B
- State
- Texas
- ZIP Code
- 78236-9907
- Phone
- (210) 508-9058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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