CYNTHIA L WALLACE

STATEN ISLAND, NY
NPI1710264940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-11-16
Last Update Date2011-11-16
Business Address
Miss CYNTHIA L WALLACE Therapist
358 SAINT MARKS PL
STATEN ISLAND, NY 10301-2417
Phone number: 718-727-3303
Mailing Address
Miss CYNTHIA L WALLACE Therapist
51 TREMONT TER
IRVINGTON, NJ 07111-3709
Phone number: