Wallace, Holly

Wallace, Holly is an individual health care provider with primary practice located at 413 W Tyler Ave , West Memphis AR 72301-4149. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wallace, Holly can be contacted via phone (870) 733-1200.

Contact Information

Primary practice address
413 W Tyler Ave West Memphis AR 72301-4149
Phone: (870) 733-1200
Fax: (870) 732-3269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X PLMSW Arkansas

Profile Details

NPI number 1669736914
LBN Legal business name Wallace, Holly
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 2012 - about 12 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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