Wallace, Donna
Wallace, Donna is an individual health care provider with primary practice located at 2110 Sw 97 Lane , Davie FL 33324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace, Donna can be contacted via phone (954) 424-1023.Contact Information
Primary practice address
2110 Sw 97 Lane
Davie FL 33324
Phone: (954) 424-1023
Fax: (954) 916-1217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW2636 | Florida |
Profile Details
| NPI number | 1710199328 |
|---|---|
| LBN Legal business name | Wallace, Donna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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