MARANDA DOROTHEA WALLACE

GASTONIA, NC
NPI1003793761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A21767)
Enumeration Date2025-08-16
Last Update Date2026-06-18
Business Address
MARANDA DOROTHEA WALLACE LCMHCA
1 ROADRUNNER DR
GASTONIA, NC 28052-6267
Phone number: 704-866-6290
Mailing Address
MARANDA DOROTHEA WALLACE LCMHCA
200 E SECOND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1904
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