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1669197638
LACEY L WALLACE
CHARLOTTE, NC
NPI
1669197638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
LACEY L WALLACE
6926 SHANNON WILLOW RD STE 400
CHARLOTTE, NC 28226-1335
Phone number: 704-981-2190
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Mailing Address
LACEY L WALLACE
6926 SHANNON WILLOW RD STE 400
CHARLOTTE, NC 28226-1335
Phone number:
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