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Individual

DR. ALISSA HEBERT-WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
515 SCR 57A, MOUNT OLIVE, MS 39119-5917
(601) 317-6210
Mailing address
515 SCR 57A, MOUNT OLIVE, MS 39119-5917
(601) 317-6210

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C8935
MS

Other

Enumeration date
04/21/2015
Last updated
05/18/2025
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