Mr. Bennett Allan Wallace, MSSW
Mr. Bennett Allan Wallace, MSSW is a Clinical Social Worker in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2011
Practice location Address checks out
164 E Ashland AveLouisville, KY 40214-1908
Phone: (502) 693-2606
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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 3772 (KY) |
|---|
Record details
| NPI number | 1699042788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSSW |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2011 |
| Last updated in NPPES | November 17, 2011 |
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