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1467028159
WALLACE T. PEAKE
CHARLOTTE, NC
NPI
1467028159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016244)
Enumeration Date
2021-06-02
Last Update Date
2021-06-29
Business Address
Mr. WALLACE T. PEAKE MSW, LCSWA
1935 J N PEASE PL STE 104
CHARLOTTE, NC 28262-4541
Phone number: 980-288-5486
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Mailing Address
Mr. WALLACE T. PEAKE MSW, LCSWA
4614 WILGROVE MINT HILL RD # 1
MINT HILL, NC 28227-3500
Phone number: 980-231-1937
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