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Holly Wallace, MSW
NPI 1669736914 · on the registry since 2012
Practice
- Address
- 413 W Tyler Ave
West Memphis, AR 72301 - Phone
- (870) 733-1200
- Fax
- (870) 732-3269
- Organisation at this address
- Ascent Acquisitions Corp-Psc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 110
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-02
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 Arkansas