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Alicia Wallace
Day Training/Habilitation Specialist in Trumann, Arkansas
NPI 1568601664

Alicia Wallace is a Day Training/Habilitation Specialist based in Trumann, AR. Alicia Wallace practices in Trumann, AR. The NPI Number for Alicia Wallace is 1568601664 and holds a License No. (Arkansas).

The current practice location address for Alicia Wallace is 1005 Balcom Ln, Trumann, AR and can be reached out via phone at 870-483-1461 and via fax at 870-483-6520.

Location: 1005 Balcom Ln, Trumann, AR, 72472-9502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568601664
Provider Name
Alicia Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1005 Balcom Ln, Trumann, AR, 72472-9502
Phone Number
870-483-1461
Fax Number
870-483-6520
Provider Enumeration Date
02/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1005 Balcom Ln
City
Trumann
State
Arkansas
Zip
72472-9502
Phone Number
870-483-1461
Fax Number
870-483-6520
person
Provider Business Mailing Address Details
Address
1005 Balcom Ln
City
Trumann
State
Arkansas
Zip
72472-9502
Phone Number
870-483-1461
Fax Number
870-483-6520
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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