Ellen Robertson Wallace, LCSW

NPI #1760957872 in Linden, Alabama

Provider Information

NPI Number
1760957872
Entity Type
Individual
Name
Ellen Robertson Wallace, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 5, 2018
Last Updated
Oct 5, 2018

Practice Location

Address
306 ABBOTT ST
City
Linden
State
Alabama
ZIP Code
36748-3022
Phone
(334) 341-0224

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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