JENNIFER LYNN HATAWAY-WALLACE

FORT MEADE, SD
NPI1255996617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SD  3589)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
JENNIFER LYNN HATAWAY-WALLACE LCSW
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-720-7422
Mailing Address
JENNIFER LYNN HATAWAY-WALLACE LCSW
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-720-7422