Theresa Anne Wallace
Theresa Anne Wallace is a Clinical Social Worker in Santa Ana, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1231 E Dyer Rd Ste 135Santa Ana, CA 92705-5643
Phone: (949) 250-0488
Fax: (714) 540-1908
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 94659 (CA) |
|---|
Record details
| NPI number | 1619370798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 2, 2014 |
| Last updated in NPPES | January 13, 2022 |
| Certification date | January 13, 2022 |
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