TAMIKA SHAVONE WALLACE

FAYETTEVILLE, NC
NPI1629415070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  P009482)
Enumeration Date2013-05-24
Last Update Date2015-05-19
Business Address
TAMIKA SHAVONE WALLACE LCSW- A
511 MIDDLE RD
FAYETTEVILLE, NC 28312-5207
Phone number: 910-584-3564
Mailing Address
TAMIKA SHAVONE WALLACE LCSW- A
511 MIDDLE RD
FAYETTEVILLE, NC 28312-5207
Phone number: 910-584-3564