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Contact Information

MEGHAN E WALLACE, LMSW
1305 LYELL AVENUE
ROCHESTER, NY14606
 Phone: 585-458-4200
 Fax: 585-277-0102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MEGHAN E WALLACE · (Female)

NPI # 1275031171
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 01/25/2018
Last updated 01/25/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 101863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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