MRS. Chulete Aurielle Wallace-Keane, LCSW

NPI #1962894485 in Moody Afb, Georgia

Provider Information

NPI Number
1962894485
Entity Type
Individual
Name
MRS. Chulete Aurielle Wallace-Keane, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 20, 2015
Last Updated
Dec 4, 2023

Practice Location

Address
3280 MITCHELL BLVD
State
Georgia
ZIP Code
31699-1500
Phone
(229) 257-2778

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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