Individual
MRS. JUDITH MARGARET CAMPBELL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6110 SHALLOWFORD RD, SUITE B, CHATTANOOGA, TN 37421-1894
(423) 509-4123
Mailing address
301 S. PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4143
(865) 525-0391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
08/07/2017
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