DANNY WALLACE

BARTOW, FL
NPI1700102472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW18848)
Enumeration Date2010-04-20
Last Update Date2024-09-23
Business Address
DANNY WALLACE LCSW
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
Mailing Address
DANNY WALLACE LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: