Individual
LOU ANN CAREY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SR. PSYC. EXAMINER
Contact information
Practice address
35 JEANNIE BELLE YARBORO RD, PARSONS, TN 38363-3305
(731) 549-4382
Mailing address
PO BOX 205, PARSONS, TN 38363-0205
(731) 549-4382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PE0000001013
TN
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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