MICAH WALLACE

CINCINNATI, OH
NPI1548934227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  181021)
Enumeration Date2021-08-05
Last Update Date2022-07-08
Business Address
Mr. MICAH WALLACE CDCA
909 SYCAMORE ST
CINCINNATI, OH 45202-1305
Phone number: 513-558-9006
Mailing Address
Mr. MICAH WALLACE CDCA
311 ALBERT SABIN WAY
CINCINNATI, OH 45229-2838
Phone number: 513-558-9006
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