MS. BETHANY WALLACE, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1992987754
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 5807 (OR) |
Frequently Asked Questions
NPI 1992987754 is the National Provider Identifier for MS. BETHANY WALLACE, LCSW, a Social Worker - Clinical provider located in Salem, OR. This NPI was enumerated on December 3, 2007.
MS. BETHANY WALLACE, LCSW practices at 2450 LANCASTER DR NE, Salem, OR 97305.
Quick Facts
- NPI
- 1992987754
- Type
- Individual
- Enumerated
- Dec 3, 2007
- Last Updated
- Jun 2, 2025
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