Wallace-Keane, Chulete Aurielle
Wallace-Keane, Chulete Aurielle is an individual health care provider with primary practice located at 3280 Mitchell Blvd , Moody Afb GA 31699-1500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace-Keane, Chulete Aurielle can be contacted via phone (229) 257-2778.Contact Information
Primary practice address
3280 Mitchell Blvd
Moody Afb GA 31699-1500
Phone: (229) 257-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C010976 | North Carolina |
Profile Details
| NPI number | 1962894485 |
|---|---|
| LBN Legal business name | Wallace-Keane, Chulete Aurielle |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2015 |
| Last updated | Dec 4th, 2023 - about last year |
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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