THOMAS A WALLACE

FALLS CHURCH, VA
NPI1639251416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904004670)
Enumeration Date2006-10-20
Last Update Date2012-08-16
Business Address
Mr. THOMAS A WALLACE LCSW
254 N WASHINGTON ST
FALLS CHURCH, VA 22046-4517
Phone number: 703-309-8514
Mailing Address
Mr. THOMAS A WALLACE LCSW
909 N GREENBRIER ST
ARLINGTON, VA 22205-1220
Phone number: 703-309-8514