FANNIE BEATRICE WALLACE

HOT SPRINGS, AR
NPI1730628074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: AR  P2205002)
Additional Taxonomies101Y00000X Counselor
(Licence: AR  A2005077)
Enumeration Date2017-02-20
Last Update Date2025-04-25
Business Address
FANNIE BEATRICE WALLACE LPC
180 MEDICAL PARK PL
HOT SPRINGS, AR 71901-8065
Phone number: 501-521-1942
Mailing Address
FANNIE BEATRICE WALLACE LPC
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534