Individual
MS. BARBARA MARY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4921 ALBEMARLE RD STE 108, CHARLOTTE, NC 28205-6654
(980) 819-6585
(980) 833-1426
Mailing address
6320 PINTO PL APT 8, CHARLOTTE, NC 28213-7361
(917) 295-3430
(980) 833-1426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013279
NC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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