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1619548336
KRISTEN NICOLE WALLACE
CHARLOTTE, NC
NPI
1619548336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NC 1-21-51057)
Enumeration Date
2021-07-03
Last Update Date
2024-07-24
Business Address
KRISTEN NICOLE WALLACE
834 TYVOLA RD STE 126
CHARLOTTE, NC 28217-3598
Phone number: 980-785-1113
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Mailing Address
KRISTEN NICOLE WALLACE
2810 COLISEUM CENTRE DR STE 520
CHARLOTTE, NC 28217-3252
Phone number: 980-785-1113
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