Yvonne Scott Wallace LCSW

NPI 1265521827 - Counselor - 101YM0800X

NPI Details
NPI 1265521827
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3912 CEDAR CIR
TUCKER GA, 30084-7339, US
Phone (770) 414-9742
Fax (770) 414-8296
Business Location
3912 CEDAR CIR
TUCKER GA, 30084-7339, US
Phone (770) 414-9742
Fax (770) 414-8286
Toxanomy
Taxonomy Code 101YM0800X
License State Georgia
License Number CSW001009
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According to our database, Yvonne Scott Wallace LCSW NPI is 1265521827, taxonomy code is 101YM0800X and license number is CSW001009, license state is located at Georgia. Yvonne Scott Wallace LCSW physically located at 3912 Cedar Cir, Tucker GA, 30084-7339. NPI Number Yvonne Scott Wallace LCSW has the Individual type.

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1265521827 NPI number is provided on an as is basis without warranty of any kind. 1265521827 is maintained by the National Plan & Provider Enumeration System. The contents of Yvonne Scott Wallace LCSW are for informational purposes only.