Individual
CYNTHIA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST FL 3, ROCK HILL, SC 29730-4542
(803) 805-7315
Mailing address
222 E MAIN ST FL 3, ROCK HILL, SC 29730-4542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16449
SC
Other
Enumeration date
11/09/2023
Last updated
11/14/2023
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