CHRISTOPHER SCOTT WALLACE

PORTSMOUTH, VA
NPI1366974610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  17443)
Enumeration Date2017-03-28
Last Update Date2017-03-28
Business Address
-- CHRISTOPHER SCOTT WALLACE LCSW-C
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-9603
Mailing Address
-- CHRISTOPHER SCOTT WALLACE LCSW-C
4027 HOLSTON CT
SUFFOLK, VA 23435-3293
Phone number: 757-953-9603
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