Individual
MR. WALLACE E. BELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
138 LEADER AVE STE 129D, LEXINGTON, KY 40508-3215
(859) 218-6727
Mailing address
138 LEADER AVE STE 129D, LEXINGTON, KY 40508-3215
(859) 218-6727
(859) 257-1888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254087
KY
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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