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1629415070
TAMIKA SHAVONE WALLACE
FAYETTEVILLE, NC
NPI
1629415070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P009482)
Enumeration Date
2013-05-24
Last Update Date
2015-05-19
Business Address
TAMIKA SHAVONE WALLACE LCSW- A
511 MIDDLE RD
FAYETTEVILLE, NC 28312-5207
Phone number: 910-584-3564
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Mailing Address
TAMIKA SHAVONE WALLACE LCSW- A
511 MIDDLE RD
FAYETTEVILLE, NC 28312-5207
Phone number: 910-584-3564
Copy
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