MS. Kristen Shae Wallace
MS. Kristen Shae Wallace is a Social Worker in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
7261 113th St Apt 2RForest Hills, NY 11375-5601
Phone: (718) 679-3595
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 091021 (NY) |
|---|
Record details
| NPI number | 1104263896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2013 |
| Last updated in NPPES | May 3, 2024 |
| Certification date | May 3, 2024 |
| Mailing address | 7261 113th St Apt 2r, Forest Hills, NY 11375-5601 |
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