TY WALLACE, MSW

MSW

Clinical Social Worker

NPI: 1295257624Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

149-010121(IL)

Contact & Hours

Address: 4904 BOWLS BOTTOM RD
PINCKNEYVILLE, IL 62274
Phone: (618) 926-6050

Quick Facts

NPI: 1295257624
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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