Walter Wallace
Walter Wallace is a Social Worker in Panama City, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
415 N Richard Jackson Blvd Ste 206BPanama City, FL 32407-3694
Phone: (352) 871-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence ISW20067 (FL) |
|---|
Record details
| NPI number | 1346008166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2024 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 6, 2024 |
| Mailing address | 840 West St Apt 840, Panama City, FL 32404-7006 |
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