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Search › Maryland › 1041C0700X

Gregory Wallace, LCSWC

NPI 1700898012 · on the registry since 2006 · sole proprietor

Practice

Address
932 Hungerford Dr Ste 18b
Rockville, MD 20850
Phone
(301) 806-1892
Fax
(301) 468-1862
Organisation at this address
Ot For Kids
Young And Well
Jane Cantor, Llc
Foot & Ankle Llc
Jie He, M.D., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-02

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 Maryland