| Mrs Stacy Garrett Wallace, LCSW | |
|
105 Saint Stephens Ct, Tyrone, GA 30290-1716 | |
| (770) 378-9913 | |
| Not Available |
| Full Name | Mrs Stacy Garrett Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 105 Saint Stephens Ct, Tyrone, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225754120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002388 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacy Garrett Wallace, LCSW 74 Price Dr W, Locust Grove, GA 30248-2540 Ph: (770) 378-9913 | Mrs Stacy Garrett Wallace, LCSW 105 Saint Stephens Ct, Tyrone, GA 30290-1716 Ph: (770) 378-9913 |
Mrs. Liza Moran Fernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd Ste 310, Tyrone, GA 30290 Phone: 404-644-9244 Fax: 770-632-6351 | |
Andree Michele Miceli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Calverton Ln, Tyrone, GA 30290 Phone: 404-550-2201 | |
Toya Turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Glendalough Ct Ste E, Tyrone, GA 30290 Phone: 770-683-9375 | |
Ellen T Mcgregor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Tyrone Rd, Tyrone, GA 30290 Phone: 814-431-2267 |