Nichole Wallace
Nichole Wallace is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
678 Frnt Ave NW Ste 100Grand Rapids, MI 49504-5323
Phone: (616) 916-3711
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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 6851116253 (MI) |
|---|
Record details
| NPI number | 1407546229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2023 |
| Last updated in NPPES | May 15, 2023 |
| Certification date | May 15, 2023 |
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