HOLLY WALLACE, LSW
Social Worker
Active
Individual
NPI: 1356167563
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 150.114983 (IL) |
Frequently Asked Questions
NPI 1356167563 is the National Provider Identifier for HOLLY WALLACE, LSW, a Social Worker provider located in Normal, IL. This NPI was enumerated on December 3, 2024.
HOLLY WALLACE, LSW practices at 1302 FRANKLIN AVE STE L500, Normal, IL 61761.
Quick Facts
- NPI
- 1356167563
- Type
- Individual
- Enumerated
- Dec 3, 2024
- Last Updated
- Dec 3, 2024
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