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1376783118
ELIZABETH DASHIELL WALLACE
SPARTANBURG, SC
NPI
1376783118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 4656)
Enumeration Date
2009-03-05
Last Update Date
2009-03-05
Business Address
Mrs. ELIZABETH DASHIELL WALLACE RN, LPC
429 N CHURCH ST
SPARTANBURG, SC 29303-3612
Phone number: 864-597-4371
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Mailing Address
Mrs. ELIZABETH DASHIELL WALLACE RN, LPC
360 E KILLARNEY LK
MOORE, SC 29369-9489
Phone number: 864-804-8381
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