Search › Arkansas › 1041C0700X
Carla Wallace, LCSW
NPI 1043892052 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3465 N Northwood Ave
Fayetteville, AR 72704 - Phone
- (285) 472-0882
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-28
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 Arkansas