JERMAINE WALLACE

ROCK HILL, SC
NPI1003124025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-09-24
Last Update Date2010-09-24
Business Address
-- JERMAINE WALLACE
223 E MAIN ST SUITE 300
ROCK HILL, SC 29730-4571
Phone number: 803-328-9600
Mailing Address
-- JERMAINE WALLACE
250 PIEDMONT BLVD
ROCK HILL, SC 29732-1835
Phone number: 803-328-9600
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