DR. Daniel Wallace, DSW

NPI #1841771292 in Richton Park, Illinois

Provider Information

NPI Number: 1841771292
Entity Type: Individual
Name: DR. Daniel Wallace, DSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: DSW
Enumeration Date: Aug 23, 2018
Last Updated: Jan 30, 2024

Practice Location

Address: 22997 KRISTINE LN
City: Richton Park
State: Illinois
ZIP Code: 60471-1273
Phone: (708) 925-7022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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