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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW NATHAN WALLACE, LCSW

Active

ANDREW NATHAN WALLACE, LCSW is a Clinical Social Worker healthcare provider located in CANTON, Georgia. NPI 1295433167 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CANTON, GA

Registration Details

NPI Number
1295433167
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2023 (3.4635173041954 yrs)
Last Updated
Apr 25, 2023
License
CSW008417 (GA)

Practice Information

Address
191 LAMAR HALEY PKWY
CANTON, GA, 301148019
Browse GA providers · Browse ZIP 30114
Phone
7707041600
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CANTON, GA

Name Credential NPI
MRS. STEPHANIE HEMENWAY SPELSBERG LCSW 1841217544
MRS. GRACE RILEY PRICE L.C.S.W. 1689763765
MS. MARY LEIGH DENTON SR. L.C.S.W. 1861530453
MRS. ELAINE CHARLOTTE SIMMS LCSW 1154514024
MS. MICHELINE MARIE O'HAIRE KLEIN LCSW 1699917641
MRS. CHRISTINE SCHWERY LCSW 1366772246
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.