Individual
KARI LEN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
3007 ANTELOPE TRL APT 171, TEMPLE, TX 76504-3805
(254) 721-2435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39365
TX
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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