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Dejuanna Wallace
NPI 1528411287 · on the registry since 2016
Practice
- Address
- 11303 W Washington Blvd
Los Angeles, CA 90066 - Phone
- (213) 738-3474
- Organisation at this address
- Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental Health
Los Angeles County Department Of Mental HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 93
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Sex
- Female
- Record last updated
- 2018-05-16
- Status
- Not present in the most recent federal file
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 California