JANISE WALLACE

LUDOWICI, GA
NPI1396348603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW007370)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
JANISE WALLACE LCSW
83 HOFFER LN SE
LUDOWICI, GA 31316
Phone number: 254-238-9473
Mailing Address
JANISE WALLACE LCSW
83 HOFFER LN SE
LUDOWICI, GA 31316
Phone number: 254-238-9473
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