Individual
ERIN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 W 14TH STE C, RIFLE, CO 81650-4717
(970) 945-2840
Mailing address
PO BOX 339, GLENWOOD SPRINGS, CO 81602-0339
(970) 928-1635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009924209
CO
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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