SearchFloridaSocial Worker

Ricky Wallace

NPI 1538455142 · on the registry since 2011 · sole proprietor

Practice

Address
10512 Innisbrook Drive
Jacksonville, FL 32222
Phone
(904) 534-4937
Fax
(800) 863-2339

Registry record

Primary taxonomy
Social Worker
104100000X
Sex
Male
Record last updated
2011-06-22

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 Florida