person
Margaret Susan Wallace
Mental Health Counselor in Fort Wayne, Indiana
NPI 1639428931

Margaret Susan Wallace is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Margaret Susan Wallace practices in Fort Wayne, IN. The NPI Number for Margaret Susan Wallace is 1639428931 and holds a License No. 39002298A (Indiana).

The current practice location address for Margaret Susan Wallace is 6315 Mutual Dr, Fort Wayne, IN and can be reached out via phone at 260-409-8188 and via fax at 866-742-8426.

Location: 6315 Mutual Dr, Fort Wayne, IN, 46814-8970
person
Provider Profile Details
NPI Number
1639428931
Provider Name
Margaret Susan Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
6315 Mutual Dr, Fort Wayne, IN, 46814-8970
Phone Number
260-409-8188
Fax Number
866-742-8426
Provider Enumeration Date
08/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6315 Mutual Dr
City
State
Zip
46825-4238
Phone Number
260-409-8188
Fax Number
866-742-8426
person
Provider Business Mailing Address Details
Address
6315 Mutual Dr
City
State
Zip
46825-4238
Phone Number
260-409-8188
Fax Number
866-742-8426
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002298A (Indiana)
Definition
Definition to come...
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