Evan C Wallace, LMSW

NPI #1770329583 in Hannibal, Missouri

Provider Information

NPI Number
1770329583
Entity Type
Individual
Name
Evan C Wallace, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Jul 2, 2024
Last Updated
Jul 2, 2024

Practice Location

Address
154 FORREST DR
ZIP Code
63401-5511
Phone
(573) 221-2120

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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