Individual
DR. BEVERLY ROSE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3719 BENSON DR, RALEIGH, NC 27609-7324
(919) 368-6227
Mailing address
3719 BENSON DR, RALEIGH, NC 27609-7324
(919) 368-6227
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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