Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE WALLACE, LCSW
ActiveAMANDA MARIE WALLACE, LCSW is a Case Manager healthcare provider located in MOHALL, North Dakota. NPI 1952808024 is currently active in the NPPES registry. Verify at CMS.
Case Manager · MOHALL, ND
Registration Details
- NPI Number
- 1952808024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2018 (8.3571602345573 yrs)
- Last Updated
- Apr 6, 2018
- License
-
4524 (ND)
Practice Information
- Address
-
205 MAIN ST EMOHALL, ND, 587614014Browse ND providers · Browse ZIP 58761
- Phone
- 7017566374
- Primary Specialty
-
Case Manager
171M00000X
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.