TAYLOR WALLACE

Case Manager/Care Coordinator

Active Individual
NPI: 1255165189

Practice Address

602 E 24TH ST
Tishomingo, OK 73460

Phone: (316) 312-2085

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1255165189 is the National Provider Identifier for TAYLOR WALLACE, a Case Manager/Care Coordinator provider located in Tishomingo, OK. This NPI was enumerated on September 2, 2024.
TAYLOR WALLACE practices at 602 E 24TH ST, Tishomingo, OK 73460.

Quick Facts

NPI
1255165189
Type
Individual
Enumerated
Sep 2, 2024
Last Updated
Sep 2, 2024

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