Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia M Wallace

Individual provider Case Manager/Care Coordinator · NPI 1336972439

Alicia M Wallace is a Case Manager/Care Coordinator in Dayton, Ohio. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8963 Kingsridge Dr
Dayton, OH 45458-1623
Phone: (859) 699-8316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1336972439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address8963 Kingsridge Dr, Dayton, OH 45458-1623

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