Matthew A Wallace
Matthew A Wallace is a Social Worker in Clearwater, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1437 S Belcher RdClearwater, FL 33764-2829
Phone: (727) 524-4464
Fax: (727) 538-7272
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1295506087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2024 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
| Mailing address | 2395 Amble Way, Land O Lakes, FL 34639-3479 |
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