ANTONE WALLACE

COLUMBUS, OH
NPI1528418316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  S1502544)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
-- ANTONE WALLACE MSW, LSW
1490 E MAIN ST
COLUMBUS, OH 43205-2140
Phone number: 614-252-0731
Mailing Address
-- ANTONE WALLACE MSW, LSW
353 HEMHILL DR
GALLOWAY, OH 43119-2200
Phone number: