| Doctor Name: | DARCIE MARILYN PRICE-WALLACE |
| NPI Number: | 1174823983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 149.011665 |
| Business Practice Address: | 3330 Old Glenview Rd Suite 1 Wilmette, IL - 600912963 |
| Business Phone Number: | 7739885820 |
| Business Fax Number: | |
| Mailing Address: | 1503 Oak Ave Apt 213, EVANSTON |
| State: | IL |
| Postal Code: | 602014223 |
| Phone Number: | 7739885820 |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2010 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.011665 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |