SearchMassachusetts101YM0800X

Elisabeth Wallace, LICSW

NPI 1497811822 · on the registry since 2006 · sole proprietor

Practice

Address
481 Concord Ave
Lexington, MA 02421
Phone
(781) 354-7327

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-09

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 Massachusetts