SYLVESTER DARREN WALLACE

TUSCALOOSA, AL
NPI1629187976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: GA  MSW002075)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
MR. SYLVESTER DARREN WALLACE LMSW, ACSW, C-ASWCM
3701 LOOP RD SOCIAL WORK SERVICE 122
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000
Mailing Address
MR. SYLVESTER DARREN WALLACE LMSW, ACSW, C-ASWCM
7651 HIGHWAY 69 NORTH APT 815
NORTHPORT, AL 35473-7862
Phone number: 205-339-6098
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