MRS. INGRID WALLACE, L.P.C., C.R.C.

Counselor - Professional

Active Individual
NPI: 1497866370

Practice Address

2525 N MAYFAIR RD
SUITE 200
Wauwatosa, WI 53226

Phone: (414) 476-8183

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 3065-125 (WI)

Frequently Asked Questions

NPI 1497866370 is the National Provider Identifier for MRS. INGRID WALLACE, L.P.C., C.R.C., a Counselor - Professional provider located in Wauwatosa, WI. This NPI was enumerated on August 31, 2006.
MRS. INGRID WALLACE, L.P.C., C.R.C. practices at 2525 N MAYFAIR RD, SUITE 200, Wauwatosa, WI 53226.

Quick Facts

NPI
1497866370
Type
Individual
Enumerated
Aug 31, 2006
Last Updated
Jul 9, 2007

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