MARIE C WALLACE

CARROLLTON, KY
NPI1609511278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: KY  277200)
Enumeration Date2022-04-28
Last Update Date2022-04-28
Business Address
MARIE C WALLACE LPCC
18 BRIAN ST
CARROLLTON, KY 41008-8202
Phone number: 150-252-5853
Mailing Address
MARIE C WALLACE LPCC
4229 BARDSTOWN RD STE 204
LOUISVILLE, KY 40218-4271
Phone number: 502-936-6546
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