MRS. CHULETE WALLACE-KEANE, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1962894485
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | C010976 (NC) |
Frequently Asked Questions
NPI 1962894485 is the National Provider Identifier for MRS. CHULETE WALLACE-KEANE, LCSW, a Social Worker - Clinical provider located in Moody Afb, GA. This NPI was enumerated on February 20, 2015.
MRS. CHULETE WALLACE-KEANE, LCSW practices at 3280 MITCHELL BLVD, Moody Afb, GA 31699.
Quick Facts
- NPI
- 1962894485
- Type
- Individual
- Enumerated
- Feb 20, 2015
- Last Updated
- Dec 4, 2023
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