Organization
MARIA WALLACE RAPID TRANSFORMATIONAL THERAPIST
Active
Organization
MARIA WALLACE RAPID TRANSFORMATIONAL THERAPIST
Active
Other names
Therapy with Maria Wallace, LCSW, C. Hyp.
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE PREVOST (MANAGER)
(337) 288-8929
Entity
Organization
Contact information
Practice address
345 DOUCET RD STE 228, LAFAYETTE, LA 70503-3490
(337) 281-1121
Mailing address
207 WAVERLY BLVD, LAFAYETTE, LA 70508-8091
(337) 281-1121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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