Most Relevant Information
Provider Data
| NPI Number: | 1003512815 |
| Provider Name: | STEVEN CURTIS WALLACE LLMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6851116117 |
Most Important Dates
| Enumeration Date: | 02/02/2023 |
| Last Updated: | 02/02/2023 |
Provider Practice Location
3890 CHARLEVOIX RD STE 306
PETOSKEY
MI
497708423
Practice Location Phone/Fax
| Phone: | 2318819125 |
| Fax: |
Provider Mailing Location
249 E HATHAWAY RD
HARBOR SPRINGS
MI
497409570
Provider Mailing Phone/Fax
| Phone: | 2318818246 |
| Fax: |