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

Individual provider Clinical Social Worker · NPI 1932610623

Lowell Wallace is a Clinical Social Worker in Philadelphia, Mississippi. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1120 E Main St Ste 24
Philadelphia, MS 39350-2300
Phone: (601) 781-8677
Fax: (601) 207-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4715 24th Pl, Meridian, MS 39305-1686 — (601) 696-6736

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1932610623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESMarch 17, 2018
Mailing address1120 E Main St Ste 24, Philadelphia, MS 39350-2300

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