Individual
ALLISON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7500 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55427-4886
(651) 271-1665
Mailing address
7505 METRO BLVD STE 505, EDINA, MN 55439-3018
(651) 271-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26738
MN
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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