Individual
MRS. RACQUEL ELIZABETH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1990 LEXINGTON AVE, NEW YORK, NY 10035-2902
(609) 359-2233
Mailing address
1404 COUNTRY LN, EWING, NJ 08628-3322
(347) 360-3704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
10/18/2025
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