Individual
H. MAC WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
923 CHADWICK SHORES DR, SNEADS FERRY, NC 28460-9213
(910) 470-0346
(910) 332-8914
Mailing address
923 CHADWICK SHORES DR, SNEADS FERRY, NC 28460-9213
(910) 470-0346
(910) 332-8914
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
363
NC
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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