SearchConnecticutClinical Social Worker

Wallace Stacy, LCSW

NPI 1588190862 · on the registry since 2017 · sole proprietor

Practice

Address
21 Richdale Dr Apt A
Wilton, CT 06897
Phone
(914) 309-6442

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-05

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