TYLER WALLACE, LMSW-CC

Social Worker - Clinical

Active Individual
NPI: 1043036874

Practice Address

901 WASHINGTON AVE STE 100
Portland, ME 04103

Phone: (207) 871-1200

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes MC24119 (ME)

Frequently Asked Questions

NPI 1043036874 is the National Provider Identifier for TYLER WALLACE, LMSW-CC, a Social Worker - Clinical provider located in Portland, ME. This NPI was enumerated on November 26, 2024.
TYLER WALLACE, LMSW-CC practices at 901 WASHINGTON AVE STE 100, Portland, ME 04103.

Quick Facts

NPI
1043036874
Type
Individual
Enumerated
Nov 26, 2024
Last Updated
Nov 26, 2024

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