JENNIFER WALLACE, CSW, QMHP
Social Worker
Active
Individual
NPI: 1174088900
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 6674 (SD) |
Frequently Asked Questions
NPI 1174088900 is the National Provider Identifier for JENNIFER WALLACE, CSW, QMHP, a Social Worker provider located in Rapid City, SD. This NPI was enumerated on February 6, 2019.
JENNIFER WALLACE, CSW, QMHP practices at 851 WEST ST, Rapid City, SD 57701.
Quick Facts
- NPI
- 1174088900
- Type
- Individual
- Enumerated
- Feb 6, 2019
- Last Updated
- Sep 10, 2025
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