WILLIE JAMES WALLACE

HAMMOND, LA
NPI1851631485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  4852)
Enumeration Date2013-02-19
Last Update Date2013-02-19
Business Address
Mr. WILLIE JAMES WALLACE LMSW
835 PRIDE DR
HAMMOND, LA 70401-9527
Phone number: 985-543-4730
Mailing Address
Mr. WILLIE JAMES WALLACE LMSW
835 PRIDE DR
HAMMOND, LA 70401-9527
Phone number: 985-543-4730
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