Wallace, Veronique

Wallace, Veronique is an individual health care provider with primary practice located at 1440 Renaissance Dr Ste 320 , Park Ridge IL 60068-1471. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Veronique can be contacted via phone (773) 957-4469.

Contact Information

Primary practice address
1440 Renaissance Dr Ste 320 Park Ridge IL 60068-1471
Phone: (773) 957-4469
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.013083 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149015858 Illinois

Profile Details

NPI number 1437406592
LBN Legal business name Wallace, Veronique
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2012
Last updated Jan 31st, 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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