Individual
REBBIE ARPTISHA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WALKER AVE NE, HUNTSVILLE, AL 35801-4739
(256) 534-8659
Mailing address
102 ROUND TABLE DR, MADISON, AL 35756-4292
(404) 550-7671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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