Abigail Wallace
NPI #1982356630 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1982356630
- Entity Type
- Individual
- Name
- Abigail Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 533 W STATE RD STE 103
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-2114
- Phone
- (801) 506-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Behavior Technician |
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