JESSICA WALLACE

MASSAPEQUA, NY
NPI1649751801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  117144)
Enumeration Date2018-08-26
Last Update Date2025-04-14
Business Address
JESSICA WALLACE LMSW
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203
Mailing Address
JESSICA WALLACE LMSW
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203