Alicia Angela Wallace LCPC

NPI 1720370570 - Counselor - 101YP2500X

NPI Details
NPI 1720370570
Gender Female
Enumeration Date 05/12/2011
Last Updated 05/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3718 MILFORD MILL RD
WINDSOR MILL MD, 21244-3718, US
Phone (443) 801-8732
Fax
Business Location
3718 MILFORD MILL RD
WINDSOR MILL MD, 21244-3718, US
Phone (443) 801-8732
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Maryland
License Number LC2999
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According to our database, Ms. Alicia Angela Wallace LCPC NPI is 1720370570, taxonomy code is 101YP2500X and license number is LC2999, license state is located at Maryland. Alicia Angela Wallace LCPC physically located at 3718 Milford Mill Rd, Windsor Mill MD, 21244-3718. NPI Number Alicia Angela Wallace LCPC has the Individual type.

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1720370570 NPI number is provided on an as is basis without warranty of any kind. 1720370570 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Angela Wallace LCPC are for informational purposes only.