MR. BENNETT WALLACE, M.S.S.W
Social Worker - Clinical
Active
Individual
NPI: 1699042788
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 3772 (KY) |
Frequently Asked Questions
NPI 1699042788 is the National Provider Identifier for MR. BENNETT WALLACE, M.S.S.W, a Social Worker - Clinical provider located in Louisville, KY. This NPI was enumerated on November 17, 2011.
MR. BENNETT WALLACE, M.S.S.W practices at 164 E ASHLAND AVE, Louisville, KY 40214.
Quick Facts
- NPI
- 1699042788
- Type
- Individual
- Enumerated
- Nov 17, 2011
- Last Updated
- Nov 17, 2011
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MRS. CRYSTAL DICKEY
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