Christal Wallace
Christal Wallace is a Social Worker in Nampa, Idaho. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
17459 N Flagstaff WayNampa, ID 83687-5495
Phone: (785) 640-5293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1891340857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2019 |
| Last updated in NPPES | September 24, 2021 |
| Certification date | September 24, 2021 |
| Mailing address | 17459 N Flagstaff Way, Nampa, ID 83687-5495 |
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