Individual
ANAH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
9723 NORTHEAST PKWY STE 500, MATTHEWS, NC 28105-9718
(980) 349-6663
Mailing address
2812 CROSS POINT CIR APT 37, MATTHEWS, NC 28105-4425
(980) 349-6663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018641
NC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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