Wallace, Walter Moore
Wallace, Walter Moore is an individual health care provider with primary practice located at 152 Highway 7 S , Oxford MS 38655-5392. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wallace, Walter Moore can be contacted via phone (662) 234-7521.Contact Information
Primary practice address
152 Highway 7 S
Oxford MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C5978 | Mississippi |
Profile Details
| NPI number | 1124203062 |
|---|---|
| LBN Legal business name | Wallace, Walter Moore |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Jan 9th, 2008 - 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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