JULIA LYNETTE WALLACE

COLUMBIA, KY
NPI1730968363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  258426)
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
JULIA LYNETTE WALLACE Temporary CSW
1175 CANE VALLEY RD
COLUMBIA, KY 42728-9540
Phone number: 270-384-6750
Mailing Address
JULIA LYNETTE WALLACE Temporary CSW
25640 LOUISVILLE RD
PARK CITY, KY 42160-7729
Phone number: 270-250-4733