JENNIFER LOUISE WALLACE

RAPID CITY, SD
NPI1174088900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: SD  6674)
Enumeration Date2019-02-06
Last Update Date2025-09-10
Business Address
JENNIFER LOUISE WALLACE CSW, QMHP
851 WEST ST
RAPID CITY, SD 57701-2516
Phone number: 605-393-4278
Mailing Address
JENNIFER LOUISE WALLACE CSW, QMHP
24100 S ROCKERVILLE RD
RAPID CITY, SD 57702-7422
Phone number: 605-343-5422