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Contact Information

ALISSA HEBERT WALLACE, LCSW
515 SCR 57A
MOUNT OLIVE, MS39119-5917
 Phone: 601-317-6210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ALISSA HEBERT WALLACE · (Female)

NPI Number 1083001721
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/21/2015
Last updated 05/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # C8935
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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