TRACEY WALLACE

ATLANTA, GA
NPI1053748038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-10-04
Last Update Date2013-10-04
Business Address
Mrs. TRACEY WALLACE
122 WOLF TAIL CT SW
ATLANTA, GA 30349-6547
Phone number: 336-210-2957
Mailing Address
Mrs. TRACEY WALLACE
122 WOLF TAIL CT SW
ATLANTA, GA 30349-6547
Phone number: 336-210-2957