DESIREE WALLACE

BALTIMORE, MD
NPI1104637461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ADT2383)
Enumeration Date2025-01-16
Last Update Date2025-01-16
Business Address
DESIREE WALLACE
3310 EASTERN AVE
BALTIMORE, MD 21224-4108
Phone number: 443-708-5056
Mailing Address
DESIREE WALLACE
501 SAINT PAUL ST APT 1004
BALTIMORE, MD 21202-2280
Phone number:
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