WALLACE NEAL

FORT MYERS, FL
NPI1730582016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  CAP 2527)
Enumeration Date2014-10-01
Last Update Date2024-05-18
Business Address
-- WALLACE NEAL MSW, CAP
2516 GRAND AVE
FORT MYERS, FL 33901-5040
Phone number: 239-338-2977
Mailing Address
-- WALLACE NEAL MSW, CAP
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-275-3222
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