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Individual

EMMA B. WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4910 RANDALL PKWY, WILMINGTON, NC 28403-2827
(910) 332-8959
(910) 332-8914
Mailing address
4910 RANDALL PKWY, WILMINGTON, NC 28403-2827
(910) 332-8959
(910) 332-8914

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
656
NC

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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