Individual
FELIECE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 S CARAWAY RD, SUITE M, JONESBORO, AR 72401-6204
(870) 910-3757
(870) 910-4999
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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