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Lashanda Wallace
NPI 1043814775 · on the registry since 2020 · sole proprietor
Practice
- Address
- 444 Center St
Manchester, CT 06040 - Phone
- (860) 646-3888
- Organisation at this address
- Genoa Healthcare Llc
First Choice Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 778
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut