National Provider Identifier
Julia B Wallace, LCSWR
Julia B Wallace, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 734-1447.
Profile Overview
- NPI
- 1760447098
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 19, 2006
- Last Updated
- July 09, 2007
Practice Location
- 963 Walnut St
- Elmira, NY 14901-1831
Phone: (607) 734-1447
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1760447098
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Julia
- Middle Name
- B
- Name Prefix
- Mrs.
- Credential
- LCSWR
- Mailing Street Address
- 963 Walnut St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1831
- Mailing Country
- US
- Mailing Phone
- (607) 734-1447
- Mailing Fax
- (607) 737-6274
- Practice Street Address
- 963 Walnut St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1831
- Practice Country
- US
- Practice Phone
- (607) 734-1447
- Practice Fax
- (607) 737-6274
- Enumeration Date
- April 19, 2006
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)