Jim Wallace and Associates Incorporated

NPI #1982748067 in Wynnewood, Oklahoma

Provider Information

NPI Number
1982748067
Entity Type
Organization
Organization Name
Jim Wallace and Associates Incorporated
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 20, 2007
Last Updated
Sep 8, 2021

Practice Location

Address
202 S WASHITA AVE
ZIP Code
73098-7820
Phone
(405) 665-4385

Authorized Official

Name
MS. TERESA GALE RUE-WALLACE, MASTERS SCIENCE
Title
OWNER/ CEO/PRESIDENT/EXEC. DIRECTOR
Phone
(405) 306-8511

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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