Shanika Wallace

NPI #1992255087 in New Britain, Connecticut

Provider Information

NPI Number: 1992255087
Entity Type: Individual
Name: Shanika Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 12, 2016
Last Updated: Oct 12, 2016

Practice Location

Address: 90 FRANKLIN SQ
City: New Britain
State: Connecticut
ZIP Code: 06051-2607
Phone: (860) 225-3561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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