SAMANDA JUSTINE WALLACE

GASTONIA, NC
NPI1598358426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-02-11
Last Update Date2022-01-26
Business Address
SAMANDA JUSTINE WALLACE
2675 COURT DR
GASTONIA, NC 28054-1478
Phone number: 704-824-7800
Mailing Address
SAMANDA JUSTINE WALLACE
119 BOLDING ST
GASTONIA, NC 28052-3505
Phone number: 704-685-1733