Janise Wallace, LCSW Valid NPI

Individual provider · Clinical Social Worker · Ludowici, GA

NPI

1396348603

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

CSW007370 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-11-18

Last updated

2020-11-18