Carolyn Wallace, LICSW
NPI #1962595835 in S Deerfield, Massachusetts
Provider Information
- NPI Number
- 1962595835
- Entity Type
- Individual
- Name
- Carolyn Wallace, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 66 N MAIN ST
- City
- S Deerfield
- State
- Massachusetts
- ZIP Code
- 01373-0137
- Phone
- (413) 320-6950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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