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Search › Connecticut › 1041C0700X

Seth Wallace, LMSW

NPI 1487169215 · on the registry since 2017

Practice

Address
5 Science Park
New Haven, CT 06511
Phone
(203) 777-8648
Organisation at this address
Ikonisys Inc.
Pgxhealth, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-01

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