Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BROOKE MARY WALLACE, LCSW, BCD
Active Sole ProprietorMRS. BROOKE MARY WALLACE, LCSW, BCD is a Clinical Social Worker healthcare provider located in LACKLAND A F B, Texas. NPI 1730228057 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LACKLAND A F B, TX
Registration Details
- NPI Number
- 1730228057
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2007 (19.480783812058 yrs)
- Last Updated
- Apr 17, 2018
- License
-
51643 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 BERGQUIST DRSUITE 1LACKLAND A F B, TX, 782369907Browse TX providers · Browse ZIP 78236
- Phone
- 2105089058
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LACKLAND A F B, TX
| Name | Credential | NPI |
|---|---|---|
| CHARLES EDWIN HULSHOF | LCSW | 1396723763 |
| CHRISTOPHER D. CLINE | LCSW | 1467424127 |
| MS. EVELYN PAULMA LAUREL | LMSW | 1932110244 |
| MS. MELENA K. HEWITT | MSW, LCSW | 1003928458 |
| KIRSTEN HARDY | LCSW | 1770683039 |
| BARBARA E. SEVERSON-OLSON | LCSW, BCD | 1770638231 |
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.