REGINAL ARNETT WALLACE

WINTER HAVEN, FL
NPI1205400066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW18482)
Enumeration Date2021-05-17
Last Update Date2021-10-04
Business Address
Mr. REGINAL ARNETT WALLACE LCSW
1201 1ST ST S
WINTER HAVEN, FL 33880-3904
Phone number: 863-293-1121
Mailing Address
Mr. REGINAL ARNETT WALLACE LCSW
2995 DREW ST FL 3
CLEARWATER, FL 33759-3012
Phone number: