Wallace, Margaret Ann
Wallace, Margaret Ann is an individual health care provider with primary practice located at 8626 Airways Blvd , Southaven MS 38671-2603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace, Margaret Ann can be contacted via phone (662) 772-5937.Contact Information
Primary practice address
8626 Airways Blvd
Southaven MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C7663 | Mississippi |
Profile Details
| NPI number | 1700110764 |
|---|---|
| LBN Legal business name | Wallace, Margaret Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2009 |
| Last updated | Oct 11th, 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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