LISA BUCKNER WALLACE

HICKORY, NC
NPI1598225930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A13854)
Enumeration Date2019-03-21
Last Update Date2020-08-11
Business Address
Mrs. LISA BUCKNER WALLACE LCMHCA
3750 N CENTER ST
HICKORY, NC 28601-8089
Phone number: 828-327-3491
Mailing Address
Mrs. LISA BUCKNER WALLACE LCMHCA
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1900
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