Wallace, Danny

Wallace, Danny is an individual health care provider with primary practice located at 1255 Golfview Ave , Bartow FL 33830-6736. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wallace, Danny can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1255 Golfview Ave Bartow FL 33830-6736
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW18848 Florida

Profile Details

NPI number 1700102472
LBN Legal business name Wallace, Danny
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2010
Last updated Sep 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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