Mr. Derrick Paul Wallace
Mr. Derrick Paul Wallace is a Clinical Social Worker in Lexington, Kentucky. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2375 Professional Heights Dr Ste 240Lexington, KY 40503-3040
Phone: (855) 591-0092
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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 |
|---|
Record details
| NPI number | 1184275802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2019 |
| Last updated in NPPES | September 24, 2019 |
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