Individual
ALLISON WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MFT
Contact information
Practice address
2456 HEARTHSTEAD LN, CINCINNATI, OH 45239-6616
(404) 798-1055
Mailing address
2456 HEARTHSTEAD LN, CINCINNATI, OH 45239-6616
(404) 798-1055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW005555
GA
1041C0700X
Clinical Social Worker
Primary
I.1600716
OH
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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