SAMANTHA WALLACE

BRONX, NY
NPI1851777171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW006425)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: NY  72085249)
Enumeration Date2015-08-10
Last Update Date2021-05-18
Business Address
Mrs. SAMANTHA WALLACE LCSW
329 E 149TH ST
BRONX, NY 10451-5601
Phone number: 718-769-2698
Mailing Address
Mrs. SAMANTHA WALLACE LCSW
329 E 149TH ST
BRONX, NY 10451-5601
Phone number: