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Mykala Wallace, LMSW
NPI 1083297774 · on the registry since 2021
Practice
- Address
- 885 W Clydesdale Dr
Fayetteville, AR 72701 - Phone
- (479) 444-1670
- Fax
- (479) 445-6903
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-30
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