Individual
BARBARA J WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1007 KOALA DR., OMAK, WA 98841
(509) 826-6191
(509) 826-8416
Mailing address
1007 KOALA DR., OMAK, WA 98841
(509) 826-6191
(509) 826-8416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005711
WA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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