Individual
ANNA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7821 N DALE MABRY HWY, TAMPA, FL 33614-3275
(813) 443-4827
Mailing address
225 5TH AVE NE APT 4, SAINT PETERSBURG, FL 33701-2601
(607) 280-9800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW25313
FL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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