Dashiya Wallace
Dashiya Wallace is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.
- Licensed in
- PA
- In the registry since
- 2021
Practice location Address checks out
4812 Baltimore AvePhiladelphia, PA 19143-3419
Phone: (215) 563-7863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW136536 (PA) |
|---|
Record details
| NPI number | 1073191557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | March 29, 2021 |
| Certification date | March 29, 2021 |
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