Individual
STEPHANIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
6431 FANNIN STREET, MSB 6.100, HOUSTON, TX 77030
(713) 500-7072
Mailing address
6431 FANNIN STREET, MSB 6.100, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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