DANA WALLACE

FORT WALTON BEACH, FL
NPI1144747205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW24920)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: AL  6143C)
Enumeration Date2017-08-29
Last Update Date2026-05-05
Business Address
DANA WALLACE LCSW, LICSW
480 SANTA ROSA BLVD
FORT WALTON BEACH, FL 32548-6901
Phone number: 251-421-0712
Mailing Address
DANA WALLACE LCSW, LICSW
480 SANTA ROSA BLVD UNIT 308E
FORT WALTON BEACH, FL 32548-6945
Phone number: 251-421-0712