| Lowell Wallace, | |
|
1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | |
| (601) 781-8677 | |
| (601) 207-7720 |
| Full Name | Lowell Wallace |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1120 E Main St Ste 24, Philadelphia, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932610623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Wallace, 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 Ph: (601) 781-8677 | Lowell Wallace, 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 Ph: (601) 781-8677 |
Lindsey Cosgrove, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Macy Dr, Philadelphia, MS 39350 Phone: 662-574-4430 | |
Heidi Starks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 Hospital Rd E, Philadelphia, MS 39350 Phone: 601-663-1210 Fax: 601-663-1211 | |
Mrs. Rachael Reed Scarbrough, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1106 Central Dr, Philadelphia, MS 39350 Phone: 601-656-1044 |