Amanda Marie Wallace, LCSW
NPI #1952808024 in Mohall, North Dakota
Provider Information
- NPI Number
- 1952808024
- Entity Type
- Individual
- Name
- Amanda Marie Wallace, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- LCSW
- Enumeration Date
- Apr 6, 2018
- Last Updated
- Apr 6, 2018
Practice Location
- Address
- 205 MAIN ST E
- City
- Mohall
- State
- North Dakota
- ZIP Code
- 58761-4014
- Phone
- (701) 756-6374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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