IndividualActive
Aja Wallace
NPI 1346699576 · Social Worker · Lake City, SC
Provider details
- NPI number
- 1346699576
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
215 Maple Dr
Lake City, SC 29560-3931
Phone: (843) 939-1363
Approximate (ZIP-level) locationGet directions
Mailing address
215 Maple Dr
Lake City, SC 29560-3931
Registry dates
- Enumerated
- 2016-06-08
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.