Individual
BRITTANY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 949-6300
(978) 343-2803
Mailing address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 949-6300
(978) 343-2803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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