MARY VIRGINIA WALLACE

RICHARDSON, TX
NPI1811127947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  30861)
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
-- MARY VIRGINIA WALLACE LCSW, ACSW
1401 N CENTRAL EXPY SUITE 375
RICHARDSON, TX 75080-4669
Phone number: 469-442-6001
Mailing Address
-- MARY VIRGINIA WALLACE LCSW, ACSW
9927 BURNHAM DR
DALLAS, TX 75243-2411
Phone number: 469-442-6001