Margaret Susan Wallace
Margaret Susan Wallace is a Mental Health Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
Practice location Address checks out
6315 Mutual Dr Ste BFort Wayne, IN 46825-4238
Phone: (260) 409-8188
Fax: (866) 742-8426
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 39002298A (IN) |
|---|
Record details
| NPI number | 1639428931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 31, 2012 |
| Last updated in NPPES | August 31, 2012 |
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