Individual
MS. FELICIA LEE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 EMANCIPATION DR, BLDG 71, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, BLDG 71, HAMPTON, VA 23667-0001
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904018214
VA
1041C0700X
Clinical Social Worker
149028883
IL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/17/2012
Last updated
04/08/2025
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