CAROLYN ANN WALLACE

LOUISVILLE, KY
NPI1306470455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  260417)
Enumeration Date2020-02-27
Last Update Date2020-05-06
Business Address
CAROLYN ANN WALLACE LCADC
2600 W BROADWAY
LOUISVILLE, KY 40211-1366
Phone number: 502-690-4286
Mailing Address
CAROLYN ANN WALLACE LCADC
323 N 42ND ST
LOUISVILLE, KY 40212-2747
Phone number: 502-356-8210
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