SIDIQAT WALLACE

KERNERSVILLE, NC
NPI1629843552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
SIDIQAT WALLACE
770 PARK CENTRE DR
KERNERSVILLE, NC 27284-3598
Phone number: 704-780-4271
Mailing Address
SIDIQAT WALLACE
770 PARK CENTRE DR
KERNERSVILLE, NC 27284-3598
Phone number: 704-780-4271
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