Jacqueline Wallace
Jacqueline Wallace is a Clinical Social Worker in Dorchester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.
- Licensed in
- MA
- In the registry since
- 2017
Practice location Address checks out
321 Blue Hill AveDorchester, MA 02121-4302
Phone: (617) 541-6859
Fax: (617) 442-2125
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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 2029129 (MA) |
|---|
Record details
| NPI number | 1033634977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 12, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 321 Blue Hill Ave, Dorchester, MA 02121-4302 |
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