NICHOLE WALLACE

Clinical Social Worker

NPI: 1407546229Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

6851116253(MI)

Contact & Hours

Address: 678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Phone: (616) 916-3711

Quick Facts

NPI: 1407546229
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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