MRS. Kathleen Nicole Wallace, B.S.E.
NPI #1881801090 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1881801090
- Entity Type
- Individual
- Name
- MRS. Kathleen Nicole Wallace, B.S.E.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Credential
- B.S.E.
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2410 PINE ST
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923-4335
- Phone
- (870) 245-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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