Wallace, Monica

Wallace, Monica is an individual health care provider with primary practice located at 38600 Van Dyke Ave Ste 101 , Sterling Heights MI 48312-1171. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wallace, Monica can be contacted via phone (800) 693-1916.

Contact Information

Primary practice address
38600 Van Dyke Ave Ste 101 Sterling Heights MI 48312-1171
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801096486 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801096486 Michigan

Profile Details

NPI number 1013459940
LBN Legal business name Wallace, Monica
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2016
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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