Individual provider · Type 1 NPI
Lyle G. Wallace
School Social Worker · West Orange, NJ
NPI number
1992444954
Active
Practice location
36 Walker Rd
West Orange, NJ 07052-4403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 44SL04765500 (NJ) |
School Social Worker: Definition to come...
About NPI 1992444954
Lyle G. Wallace's National Provider Identifier is 1992444954, issued on May 29, 2022. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in West Orange, NJ. The record was last updated on May 29, 2022.