Individual
CHRISTIAN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W JEFFERSON ST STE 120, WAXAHACHIE, TX 75165-2200
(214) 351-3490
Mailing address
1721 S I 35, WAXAHACHIE, TX 75165-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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