Individual
SAVANNAH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
Mailing address
2825 N LASALLE ST, INDIANAPOLIS, IN 46218-2852
(317) 932-6053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99131046A
IN
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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