Individual
ERIN BLAIR WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSC
Contact information
Practice address
4355 BROWNS BRIDGE RD, CUMMING, GA 30041-4554
(770) 771-5050
(770) 771-5051
Mailing address
4910 DAHLONEGA HWY, CUMMING, GA 30028-5583
(678) 283-2011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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