CARLY WALLACE

NEW BRITAIN, CT
NPI1780040600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  11655)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MA  120747)
Enumeration Date2016-01-07
Last Update Date2023-02-28
Business Address
CARLY WALLACE LCSW
233 MAIN ST
NEW BRITAIN, CT 06051-4204
Phone number: 860-977-2324
Mailing Address
CARLY WALLACE LCSW
21 BIDWELL SQ
UNIONVILLE, CT 06085-1115
Phone number: 860-977-2324