RICHARD SCOTT WALLACE

AUSTIN, TX
NPI1063656262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  04310)
Enumeration Date2009-05-01
Last Update Date2013-02-11
Business Address
-- RICHARD SCOTT WALLACE LCSW
10625 REDMOND RD
AUSTIN, TX 78739-1654
Phone number: 512-529-9994
Mailing Address
-- RICHARD SCOTT WALLACE LCSW
10625 REDMOND RD
AUSTIN, TX 78739-1654
Phone number: 512-529-9994
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