Individual
MS. CAROLINE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Contact information
Practice address
123 UNION ST STE 201, EASTHAMPTON, MA 01027-4100
(413) 206-9172
Mailing address
123 UNION ST STE 201, EASTHAMPTON, MA 01027-4100
(413) 206-9172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122644
MA
Other
Enumeration date
09/26/2016
Last updated
02/07/2024
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