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Organization
SUNDANCE CONSULTANTS, INC.
Active
Organization
SUNDANCE CONSULTANTS, INC.
Active
Other names
SunDance Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMA B. WALLACE PSYD, LMFT (VICE PRESIDENT)
(910) 470-1816
Entity
Organization
Contact information
Practice address
360 ROCKY TRAIL RD, LEXINGTON, NC 27292-8202
(910) 470-1816
(336) 537-4203
Mailing address
360 ROCKY TRAIL RD, LEXINGTON, NC 27292-8202
(910) 470-1816
(336) 537-4203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
656
NC
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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