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

LOWELL WALLACE

Active

LOWELL WALLACE is a Clinical Social Worker healthcare provider located in PHILADELPHIA, Mississippi. NPI 1932610623 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PHILADELPHIA, MS

Registration Details

NPI Number
1932610623
Provider Type
Individual
Gender
Male
NPI Issued
Oct 20, 2017 (8.7960952926587 yrs)
Last Updated
Mar 17, 2018

Practice Information

Address
1120 E MAIN ST STE 24
PHILADELPHIA, MS, 393502300
Browse MS providers · Browse ZIP 39350
Phone
6017818677
Fax
6012077720
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PHILADELPHIA, MS

Name Credential NPI
MRS. RACHAEL REED SCARBROUGH LCSW 1952677528
HEIDI STARKS LCSW 1306379011
LINDSEY COSGROVE LCSW 1285415497
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.