Individual
JOSLYN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10922 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
(314) 301-8601
Mailing address
12525 POSTGROVE DR APT C, SAINT LOUIS, MO 63146-4575
(314) 322-3044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023002802
MO
1041C0700X
Clinical Social Worker
149.031259
IL
Other
Enumeration date
10/30/2023
Last updated
02/25/2026
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