EVAN C WALLACE

HANNIBAL, MO
NPI1770329583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2024022765)
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
EVAN C WALLACE LMSW
154 FORREST DR
HANNIBAL, MO 63401-5511
Phone number: 573-221-2120
Mailing Address
EVAN C WALLACE LMSW
154 FORREST DR
HANNIBAL, MO 63401-5511
Phone number: 573-221-2120
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