Individual
MRS. STEPHANIE DAWN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-6370
(336) 641-6693
Mailing address
3900 SE WHISPERING WILLOWS DR, GREENSBORO, NC 27406-8599
(336) 641-6370
(336) 641-6693
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
08/23/2007
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