Individual
MS. DEBBIE ANN WALLACE-PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
2401 SARDIS RD N STE 120, CHARLOTTE, NC 28227-7722
(704) 227-0625
(704) 227-0691
Mailing address
5401 LEAFORD CT, CHARLOTTE, NC 28227-3162
(704) 804-9720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018419-A
NC
Other
Enumeration date
12/27/2022
Last updated
04/25/2023
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