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1023723285
KARYN DE'NEAN WALLACE
DAVIDSON, NC
NPI
1023723285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A18495)
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
Mrs. KARYN DE'NEAN WALLACE
442 S MAIN ST
DAVIDSON, NC 28036-8222
Phone number: 704-975-9291
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Mailing Address
Mrs. KARYN DE'NEAN WALLACE
20505 CHURCH ST
CORNELIUS, NC 28031-8819
Phone number: 704-975-9291
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