SearchPennsylvaniaClinical Social Worker

Dashiya Wallace

NPI 1073191557 · on the registry since 2021

Practice

Address
4812 Baltimore Ave
Philadelphia, PA 19143
Phone
(215) 563-7863
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-29

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 Pennsylvania