Scott D Wallace
Scott D Wallace is a Clinical Social Worker in Lowell, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.
- Licensed in
- MA
- In the registry since
- 2012
Practice location Address checks out
63 Glenwood StLowell, MA 01852-3007
Phone: (978) 804-4068
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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 116999 (MA) |
|---|
Record details
| NPI number | 1184996399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2012 |
| Last updated in NPPES | June 18, 2012 |
| Mailing address | 63 Glenwood St, Lowell, MA 01852-3007 |
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