Individual
MS. PAMELA E WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W., M.ED.
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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