TAVIA WALLACE, MSW, LGSW

Social Worker

Active Individual
NPI: 1306293659

Practice Address

2121 7TH ST
Parkersburg, WV 26101

Phone: (304) 485-1721

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes BP00947323 (WV)

Frequently Asked Questions

NPI 1306293659 is the National Provider Identifier for TAVIA WALLACE, MSW, LGSW, a Social Worker provider located in Parkersburg, WV. This NPI was enumerated on May 17, 2016.
TAVIA WALLACE, MSW, LGSW practices at 2121 7TH ST, Parkersburg, WV 26101.

Quick Facts

NPI
1306293659
Type
Individual
Enumerated
May 17, 2016
Last Updated
Oct 17, 2025

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