| Dana Wallace, LCSW | |
|
28 Haughton Rd, Bozrah, CT 06334-1207 | |
| (860) 917-0790 | |
| Not Available |
| Full Name | Dana Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 28 Haughton Rd, Bozrah, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093549420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 013881 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Wallace, LCSW 55 Halls Hill Rd # 1, Colchester, CT 06415-1402 Ph: (860) 884-3506 | Dana Wallace, LCSW 28 Haughton Rd, Bozrah, CT 06334-1207 Ph: (860) 917-0790 |
Ms. Anjanette Marie Leonard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 441 Salem Tpke, Bozrah, CT 06334 Phone: 860-886-3539 | |
Diane Elizabeth Holzworth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Salem Tpke, Bozrah, CT 06334 Phone: 860-608-1584 Fax: 860-859-7012 |