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Willie Wallace, LMSW
NPI 1851631485 · on the registry since 2013
Practice
- Address
- 835 Pride Dr
Hammond, LA 70401 - Phone
- (985) 543-4730
- Fax
- (985) 543-4752
- Organisation at this address
- Ascension Depaul Services
Marillac Community Health Centers
Fphsa Hammond Addictive Disorders Clinic
Florida Parishes Human Services AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 82
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-19
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 Louisiana