Individual
ROBERT LEE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 S HANCOCK ST, ROCKINGHAM, NC 28379-3675
(910) 997-9240
Mailing address
110 S HANCOCK ST, ROCKINGHAM, NC 28379-3675
(910) 997-9240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4253
NC
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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