SUSAN D. WALLACE

PAWTUCKET, RI
NPI1447375662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  LCDCS00022)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
MRS. SUSAN D. WALLACE MA, LCDCS
166 PAWTUCKET AVENUE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
Mailing Address
MRS. SUSAN D. WALLACE MA, LCDCS
166 PAWTUCKET AVENUE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
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