| Mrs Ciara Jacole Wallace, LMSW | |
|
1025 Warrenton Hwy Ste A, Thomson, GA 30824-8061 | |
| (706) 496-5929 | |
| Not Available |
| Full Name | Mrs Ciara Jacole Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1025 Warrenton Hwy Ste A, Thomson, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770420689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MSW012953 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ciara Jacole Wallace, LMSW 225 Crown Heights Way, Grovetown, GA 30813-5906 Ph: (706) 496-5929 | Mrs Ciara Jacole Wallace, LMSW 1025 Warrenton Hwy Ste A, Thomson, GA 30824-8061 Ph: (706) 496-5929 |
Mrs. Belinda Lark Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1609 Carl Dr, Thomson, GA 30824 Phone: 706-595-2792 | |
Mrs. Sheanette S Drake, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Warrenton Hwy Ste A, Thomson, GA 30824 Phone: 478-456-5863 Fax: 762-309-4267 | |
La Shaun Coronel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Warrenton Hwy Ste A, Thomson, GA 30824 Phone: 706-445-0508 |