Wallace, Valencia
Wallace, Valencia is an sole proprietor health care provider with primary practice located at 2830 E 25Th St , Granite City IL 62040-5934. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wallace, Valencia can be contacted via phone (618) 419-3363.Contact Information
Primary practice address
2830 E 25Th St
Granite City IL 62040-5934
Phone: (618) 419-3363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1073479937 |
|---|---|
| LBN Legal business name | Wallace, Valencia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2026 |
| Last updated | Jan 5th, 2026 - about 9 months 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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