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Individual

ERIN MICHELLE WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
5034 OAKVIEW DR, MIDDLETOWN, OH 45042-4901
(614) 571-7564

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1700343-SUPV
OH

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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