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Individual
MS. LEAH WALLACE
Active
Individual
MS. LEAH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CHW003335
OH
251B00000X
Case Management Agency
CHW003335
OH
251X00000X
Supports Brokerage Agency
—
OH
Other
Enumeration date
04/04/2024
Last updated
09/11/2026
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